This Revocation of Power of Attorney will act as written notice that all powers granted under a Power of Attorney are revoked. This legal document sets forth the name(s) of the person originally granting the Power of Attorney (the “Grantor”), the original signing date, the person to whom the Power of Attorney was given (the “Grantee”) and the date the original Power of Attorney is revoked. It is important that this revocation of powers is in writing and notarized. Having a written and notarized Revocation of Power of Attorney will make it difficult for a third party to challenge its validity.

These important provisions are included in this Revocation of Power of Attorney for Indiana:

• Parties to the Revocation: This provision sets out the name and address of the Grantor(s) and the name of the Grantee(s);
• Effective Date: This provision sets out the revocation date of the Power of Attorney;
• Handwritten Date and Signatures: The provision contains the handwritten signature of the Grantor and the witnesses;
• Notary: This legal document must be signed in front of a notary public.

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This attorney prepared packet includes:

1. General Information
2. Instructions and Checklist
3. Revocation of Power of Attorney for Indiana

State Law Compliance: This form complies with the laws of Indiana