Fillable Printable Simple Revocation of Power of Attorney Form

Simple Revocation of Power of Attorney Form

REVOCATION OF POWER OF ATTORNEY

FORM 21

Land Titles Act

Sections 115

I (We),

hereby revoke the power of attorney given by me to

dated

, and recorded in the Land Titles Office as instrument number

In witness whereof, I have hereunto subscribed my name this

SIGNED by the above named

in the presence of

(Signature)

(Witn ess Sign Here)

Affidavit of Attestation of an Instrument

Form 31

Land Titles Act

Sections 155 and 156

in the

make oath and say:

1. I was personally present and did see

who is (are) known to me to be the person(s) named in the within instrument, duly sign the instrument;

I was personally present and did see

who, on the basis of the identification provided to me, I believe to be the person(s) named in the within instrument, duly

sign the instrument;

The instru ment was signed at

, in the

and I am subscribing witness thereto;

I believe the person(s) whose signature I witnessed is (are) at least eighteen (18) y ears of age.

SWORN before me at

in the

this

day of

(A Com mi ssion er, E tc. (or as the case may be))

(Witn ess Sign Here)

(Print or Stamp Name of Commissi o ner )

(Expiry Date of Co mm i ssion or Office)