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Vermont Revocation of Power of Attorney Form

A Vermont revocation of power of attorney is used to revoke a previously issued power of attorney. After filling out this form, the principal must provide a copy to the authorized agent and any successor agent listed on the original document. Notice must also be given to any other entity that received a copy of the original power of attorney.
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Financial Powers

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

  • The principal dies;
  • The principal becomes incapacitated and the power of attorney is not durable;
  • The principal revokes the power of attorney;
  • The power of attorney has an end date;
  • The purpose of the power of attorney is accomplished; or
  • The agent resigns, becomes incapacitated, or dies, and the POA does not provide a successor agent.

Medical Powers

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

  • Writing and signing a statement of revocation;
  • Personally informing the health care provider of the intent to revoke;
  • Physically destroying the advance directive with the intent to revoke; or
  • Executing a new advance directive.

Sample

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