Updated April 20, 2022
A Vermont Revocation of Power of Attorney Form can be used when you want to revoke a POA that you previously issued. After filling out this form, you will want to make sure to provide a copy to your agent and any successor agent who may be listed as next in line to wield power. It is important to make sure any such revocation is dated and delivered to the agent and any other entity who has received a copy of the revoked document. This will be the only way to make sure the previous document has been effectively terminated.
Laws – § 3507
How to Write
1 – The Revocation Document On This Page Will Terminate Principal Powers In Vermont
The buttons captioning the preview image can be utilized to access a copy of the template required to Revoke Principal Authority. Download it when you are ready to fill out and execute this document.
2 – Supplement This Document With Pertinent Information
The body of this template shall discuss the Principal’s intention of revoking a Principal Authority he or she appointed an Attorney-in-Fact or Agent with. It will need some information to apply to the Principal and Attorney-in-Fact involved. The Principal will need to supply his or her Name on the blank line labeled “(Your Name).” 
The next blank space, designated with the parentheses label “(Your town),” should have the Name of the Vermont County or Town where the Principal lives recorded on it. 
The final blank space in the body of this template is labeled “(Agent’s Name)” and requires the Full Name of the Attorney-in-Fact produced on it
3 – The Principal’s Verifying Signature Is Required To Satisfy This Execution
The “Signature Of Principal” are of this template shall contain two blank spaces (“You Sign Here” and “Date”). The Principal must sign his or her Name then enter the Current Date on these blank spaces.
Finally, after the Principal has provided these items, he or she must give this template to the Notary Public present at the time of signing so that it may be notarized.