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Kentucky Power of Attorney Revocation Form

A Kentucky power of attorney revocation is used when a person wants to revoke a previously executed power of attorney. This form can be used for any type of power of attorney. In addition to completing this form, the principal must also inform their agent and any relevant institutions that the previous power of attorney has been revoked.
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Financial Powers

A financial power of attorney is terminated if:[1]

  • The principal dies;
  • The principal becomes incapacitated and the power of attorney is not durable;
  • The principal terminates the power of attorney (with a form);
  • The power of attorney has an end date;
  • The purpose of the power of attorney is completed; or
  • The agent resigns, becomes incapacitated, or dies.

Medical Powers

An advance directive can be revoked by the principal at any time by:[2]

  • Writing a statement that is signed and dated;
  • Verbally informing the health care provider in the presence of a witness; or
  • Destroying the existing copies.

Sample

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