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REVOCATION OF POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
I, _________, of legal age, single/married and with residence address at ___________ did on the ___day of ______, 2001,executed a SPECIAL POWER OF ATTORNEY before Atty. _____, a Notary Public in and for _______ and registered under Doc. No. ___; Page No. ___; Book No. ___; Series of ____, and there did appoint _______as my true and lawful attorney, for me and in my name to perform the acts therein set forth;
That I have revoked and recalled the said power of attorney, and do hereby revoke, recall, and annul all power and authority thereby given to the said ________ together with any and all concomitant rights, powers and privileges given to him.
IN WITNESS WHEREOF, I have hereunto set my hand on the __ day of _______, 2002 at the City of Dagupan, Pangasinan, Philippines.
Signature of Person Revoking
WITNESSES: __________ __________
ACKNOWLDGMENT
***This form is executed by one who
empowered another person thru a
Power of Attorney and has decided
to revoke the same.
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