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California Revocation of Power of Attorney Form

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California Revocation of Power of Attorney Form is a legal tool used when an individual who has granted a power of attorney in the past desires to cancel or revoke it. The individual, or principal, must have a notary public witness the revocation so that it may be subjected to a proper notarization process. Once this template has been filled out, signed, then notarized, make certain that all institutions that may have acted or may be likely to act in the future on the original, will be on notice that it has been revoked.

Laws§ 4153

Termination of Agent’s Authority

Under California law, the following are termination events:

  • In accordance with the terms of the power of attorney.
  • Extinction of the subject or fulfillment of the purpose of the power of attorney
  • Revocation of the attorney-in-fact’s authority, as provided in Section 4153
  • Death of the principal, except as to specific authority permitted by statute to be exercised after the principal’s death.
  • Removal of the attorney-in-fact.
  • Resignation of the attorney-in-fact.
  • Incapacity of the attorney-in-fact, except that a temporary incapacity suspends the attorney-in-fact’s authority only during the period of the incapacity.
  • Dissolution or annulment of the marriage of the attorney-in-fact and principal, as provided in Section 4154.
  • Death of the attorney-in-fact.

How to Write

1 – Consolidate Your Records Then Obtain The Documentation To Revoke Authority

The paperwork required to revoke a previously executed Power of Attorney and, effectively, terminate an Attorney-in-Fact/Agent’s Principal Powers is supplied on this page. Locate and select one of the buttons accompanying the preview image to access a copy and save it to your machine.

2 – Produce The Information Requested By This Template

The individual that desires to issue this document is the Principal who delegated his or her Authority to an Agent through a past Power Document. This paperwork will serve to revoke the tenets in that previous document. The first line that requires information will require the Full Name of this Principal. Enter it after the parentheses label “(Name).”  

The two blank lines that follow the reported Principal’s Name have been reserved for the “City Of” and the “County Of” the Principal’s Address. It is assumed these items will be a California City and California County. Produce this information where requested on the next two spaces. We will need to refer to the original document that issued the Principal Authority that shall be terminated here. Locate the Execution Date on the original Power Appointment document then record it using the space between the words “…Revoke The Power Of Attorney Dated” and “Empowering…” In addition to the Principal, we will need to clearly identify the individual (Attorney-in-Fact/Agent) whose Principal Powers should be terminated here. Present the Name of the Attorney-in-Fact whose Principal Authority must be ended on the blank space that precedes the words “…To Act As My Agent. The original document may have delegated Principal Powers to more than one individual if so, record the Name of each Agent named with Principal Power in the document being revoked. 

3 – The Notarized Principal Signing Will Execute The Termination

Once this document has been supplied with the information it requests, it may be formally executed by the Principal. The Principal will need to coordinate with a Notary Public, then in the presence of this entity, record the Calendar Date when he or she signs this form on the blank line labeled “Dated.” Immediately after supplying the Signature Date, the Principal must sign his or her Name on the space labeled “Signature Of Principal” The Principal must print his or her Name on the blank space supplied beneath the signature line. The Notary Public will use the “Acknowledgment” section to notarize the Principal Execution.


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