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Revocation of Power of Attorney Form - Australia

Revocation of Power of Attorney
I .........................................................................................................................................................................
(Name of principal)
herebyrevokethe Power of Attorney
Dated: _____/_____/______
(Insert the date of the power of attorney)
appointing .........................................................................................................................................................
(Insert the name(s) of the attorney(s))
Registration number ofthe power of attorney is:
Book ................................................... No. .......................................................................................................
(Complete only if the power of attorney is registered)
Signature of principal: ........................................................................ Dated: _____/_____/______
Signature of witness: ..........................................................................................................................................
Name of witness:...............................................................................................................................................
Address of witness: ............................................................................................................................................
...........................................................................................................................................................................
Notes
1. You must give a copy of this revocation to your attorney to notify him or her that the power of attorney has
been revoked.
2. Any adult may witness the principal’s signature. The witnessdoes not have to be a justice of the peace,
solicitor or other ‘prescribed witness’.
3. There is no requirement to register this revocation, but if the power of attorney being revoked has been
registered it is advisable to do so. If youwish toregisterthis revocation,you must lodgeit at Land and
Property Information (LPI), Queens Square, 1 Prince Albert Rd, Sydney 2000 together with a completed Deed
Index Particulars form availablefrom the LPI website atwww.lpi.nsw.gov.au.
If you require further information contact LPI’s Customer Service Centre T: 1300 052 637 or visit the LPI website
www.lpi.nsw.gov.au.
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