Notice of Revocation of Power of Attorney

9/6/2013

I, _________(1)____________, of __________(2)__________, by
written instrument dated ________(3)____________, 20__(4)_,
appointed _____________(5)______________ of
____________(6)____, my attorney in fact for the purposes and
with powers therein set forth, a copy of which is attached
hereto as Exhibit "A".

Notice is hereby given that I have revoked, and do hereby
revoke, the above-described power of attorney, and all power
and authority thereby given, or intended to be given, to
____________(5)_______________.

Dated ____________(7)_____________, 20__(8)_.

_____________(9)_______________

STATE OF _______(10)____________

COUNTY OF ______(11)____________

BEFORE ME, the undersigned authority, on this _(12)_ day of
_______(13)________, 19_(14)_, personally appeared
___________(15)___________ to me well known to be the person
described in and who signed the Foregoing, and acknowledged to
me that he executed the same freely and voluntarily for the
uses and purposes therein expressed.

WITNESS my hand and official seal the date aforesaid.

___________(16)________________
NOTARY PUBLIC

My Commission Expires:__(17)___

Notice

The information in this document is designed to provide an outline that you can follow when formulating business or personal plans. Due to the variances of many local, city, county and state laws, we recommend that you seek professional legal counseling before entering into any contract or agreement.

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