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Fillable Printable Revoking a Power of Attorney for Finances Form - Wisconsin
Fillable Printable Revoking a Power of Attorney for Finances Form - Wisconsin
Revoking a Power of Attorney for Finances Form - Wisconsin
2850 Dairy Drive, Suite 100 Madison, WI 53718-6742 Telephone: (608)224-0606
Toll Free: 1-800-488-2596 Fax: (608)224-0607 www.cwag.org 09/2010
The Coalition of
Wisconsin Aging Groups is
a nonprofit, nonpartisan,
statewide membership
organization that was
founded in 1978.
REVOKING A POWER OF ATTORNEY FOR FINANCES
Wisconsin law permits a Power of Attorney for Finances (POA-F) document to be revoked by the
principal at any time. Execution of a new POA-F does not automatically revoke an old one. The
appropriate way to revoke a POA-F is for the principal to sign and date a document clearly expressing
the principal’s intent to revoke the document.
Reasons to revoke a POA-F include:
•
the principal changes his or her mind about any provision or special instruction included in the
POA-F;
•
the agent is abusing his or her fiduciary duty in some way (e.g., theft or mismanagement)
•
the principal wants to change who is named as agent or alternate agent for any reason;
•
the person named as the agent moves, becomes incapacitated or passes away and there is no
alternate agent named;
• the agent and alternate agent do not want to perform these duties;
•
the principal is dissatisfied with the decisions that the agent is making.
The preferred way to revoke a POA-F is to sign and date a written document revoking the POA-F
because it provides the best proof of revocation. The principal should sign and date the appropriate
revocation document, but does not need to have it witnessed or notarized. However, witnesses and a
notarized document may help in contentious situations or where the principal believes questions may
later arise as to his or her revocation of the document. Whether the document should be witnessed and
notarized is the principal’s decision. See a sample of a revocation letter below.
The principal should provide a copy of the completed revocation form to financial institutions,
investment firms, and all other interested persons who handle any or all of the principal’s assets. In
cases of contention or financial exploitation, the agent and alternate agent should be informed of the
revocation only after financial institutions and other asset management parties have been notified that
the POA-F has been revoked. Please note that in cases where the agent conducts daily or weekly
financial activity on the principal’s behalf, the principal may find out about the revocation relatively
quickly when a financial institution denies him or her access to the accounts based on the revocation. If
financial exploitation is a concern, ensure that steps are taken to inform all holders of the principal’s
assets as quickly as possible to prevent the agent from being able to access assets held at a location that
has not yet been informed of the revocation. Then send a letter (see sample below) to the agent
informing him or her of the revocation and his or her remaining duties to the principal.
2850 Dairy Drive, Suite 100 Madison, WI 53718-6742 Telephone: (608)224-0606
Toll Free: 1-800-488-2596 Fax: (608)224-0607 www.cwag.org 09/2010
The Coalition of
Wisconsin Aging Groups is
a nonprofit, nonpartisan,
statewide membership
organization that was
founded in 1978.
REVOCATION OF POWER OF ATTORNEY FOR FINANCES
I, ______________________________________________________ [name of principal], hereby
immediately revoke the Power of Attorney for Finances that I previously executed on
___________________ [date] which had appointed
______________________________________________________ [name of agent] as my financial power of
attorney agent and _________________________________________________ [name of alternate agent, if
any] as my alternate financial power of attorney agent. I hereby notify said agent or agents and any other
interested persons that said power of attorney for finances is revoked.
This revocation takes effect immediately. A photocopy has the same effect as an original.
Signed this _________ day of __________________, 20____
__________________________________________________
Print name of principal
__________________________________________________
Signature of principal
Witness Witness
Dated: __________________________________ Dated: _________________________________
Signature: _______________________________ Signature: _______________________________
Print Name: ______________________________ Print Name: _____________________________
Address: _________________________________ Address: ________________________________
______________________________ ___ ________________________________
State of Wisconsin County of ___________________
This document was acknowledged before me on ____________(date) by___________________.
_________________________________________ (Signature of Notarial Officer)
_________________________________________ (Title) SEAL
My commission is permanent or expires _____________________
2850 Dairy Drive, Suite 100 Madison, WI 53718-6742 Telephone: (608)224-0606
Toll Free: 1-800-488-2596 Fax: (608)224-0607 www.cwag.org 09/2010
The Coalition of
Wisconsin Aging Groups is
a nonprofit, nonpartisan,
statewide membership
organization that was
founded in 1978.
GIVING NOTICE TO THE AGENT AND ALTERNATE AGENT
After completing the revocation form, you should give a copy of the revocation form to your agent and
alternate agent along with a letter giving them notice of your action in revoking your POA-F.
1)
The notice letter should include the date, your personal information including your name and
address, and the personal identifying information of the agent and alternate agent. Find a sample
letter below.
2)
The letter should also state that you are giving all interested persons notice of your intent to revoke
your Power of Attorney for Finances.
3) A separate letter should be sent to the agent and the alternate agent.
4)
Sign the letter and make several copies.
5) Mail the notice letter and a copy of the Revocation to all agents and individuals who were given a
copy of the Power of Attorney document (e.g., financial institutions, investment companies, etc.) and
request a return receipt. You may also hand deliver the letter and statement. If hand delivered,
deliver it only to the named person and try to get a receipt or written statement signed by the person
stating that she or he received the notice.
SAMPLE NOTICE LETTER TO AGENT AND ALTERNATE AGENT
[Date]
[Name and address of Agent]
RE: Power of Attorney for Finances
Dear ________________________________:
Please be advised that I have revoked your authority to make any financial decisions on my behalf, and you
are no longer authorized to handle any financial matters on my behalf. Please find enclosed with this letter a
copy of the formal revocation.
Under the law, if you fail to comply with this notice, you may be liable to me for damages.
I hereby demand that you turn over all records of mine that are in your possession. This information should
be mailed to me at ________________________________________________________________ [address]
by no later than ______________________________ [date]. If you do not have any records of mine, you
should mail me written confirmation of this fact by _____________________________ [date].
Sincerely,
[signature]
Name of Principal
Address of Principal
Enc.