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Nebraska __________________________ Name typed, printed, or stamped s), or the entity upon behalf of which the person(s) acted, executed the instrument. __________________________________________ Signature of person taking acknowledgment (Notary Public) _____________ribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(_______________ _________________________________________________________, personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subsc_ County of ________________________ ) ) ss ) On __________________ before me, (here insert name and title of the officer), personally appeared _________________________________________________________________ Date: ___________________________ Name: ___________________________ City: _________________________ State:_________________________ Notary Acknowledgment State of _________________________nt Witness Signature:__________________ Date: ___________________________ Name: ___________________________ City: _________________________ State:_________________________ Witness Signature:________is Notice of Revocation of Power of Attorney for the Care of Children on _______________ (date). ________________________________ Signature of Parent ________________________________ Signature of Pare___________ (Agent/Attorney in Fact) on _________________ (date of power of attorney). A copy of this revocation is being provided to the Agent/Attorney-in-Fact IN WITNESS WHEREOF, I/We have signed th________ hereby give notice that I/We revoke effective immediately the Power of Attorney for the Care of Children, and all powers and authority given, provided or implied therein to __________________ Revocation of Power of Attorney for the Care of Children I/We, ___________________________________________________ (Parent(s)/Principal(s)) maintaining an address at: ________________________________n is general information that is not state specific. Whenever appropriate, the instructions included with the forms packages offered for sale, generally include state specific instructions. Notice ofenerally be done at any time. This revocation becomes effective immediately. Please note that this information is not intended as and is not a substitute for legal advice. Furthermore, this informatio no longer wish to have an Attorney-in-Fact, if the Attorney-in-Fact has finished the task(s) he/she was supposed to accomplish or if any problems arise with the Attorney-in-Fact. The revocation can gor the Care of Children is used by the Grantor(s) to give notice that a previously granted Power of Attorney for the Care of Children has been revoked. Revocation may be necessary, if the Principal(s)dian(s)) of a Power of Attorney for the Care of Children decides to revoke the document, it is almost always required that the revocation be in writing. The Notice of Revocation of Power of Attorney f subject to the Disclaimers and Terms of Use found at findlegalforms.com Information Notice of Revocation of Power of Attorney for the Care of Children If a Grantor (i.e. the parent(s) or legal guarstate and may change from time to time. These forms should only be a starting point for you and should not be used without consulting with an attorney first. [_] The purchase and use of these forms is Power of Attorney so as to avoid any questions about the revocation or its effectiveness. [_] These forms are not intended and are not a substitute for legal advice. Laws are different from state to t the original power of attorney was filed publicly (i.e. recorded), then the notice of revocation should also be filed publicly, in the same manner. [_] The Principal should destroy any copies of thef the original Power of Attorney or who may have dealt with the Agent acting on behalf of the Principal. It is a good idea to keep a record of anyone who was sent a copy of the revocation. In the evenr the Notary should not be a witness. [_] The Principal(s) should keep a copy of the revocation in his/her/their files. Copies of the revocation should be sent to anyone who may have received a copy o always a good idea to also have two witnesses sign the Revocation of Power of Attorney. The witnesses should be adults. Generally, anyone related by blood or marriage to the Principal(s), the Agent o Principal(s) should keep a copy of any document showing that the Agent received the original revocation (i.e. certified mail receipt, delivery receipt etc...). [_] Although not always required, it isbecomes effective immediately. [_] The original revocation must be given to the Agent (i.e. Attorney-in-Fact) to show that it was the Grantor's intent to revoke the Power of Attorney. If possible, thequired. Notarization will also help to ensure that the revocation is effective and support its authenticity if challenged. Notarization is also necessary to record the revocation. [_] This revocation (i.e. the parent(s) or legal guardian(s) granting the Power of Attorney; sometimes called the Grantor(s)) should sign the Notice of Revocation of Power of Attorney before a Notary even if it is not ree Care of Children (2) Information about Notice of Revocation of Power of Attorney for the Care of Children (3) Notice of Revocation of Power of Attorney for the Care of Children [_] The Principal(s) Instructions & Checklist Notice of Revocation of Power of Attorney for the Care of Children [_] This package includes (1) Checklist & Instructions for Notice of Revocation of Power of Attorney for th Nebraska