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THIS REVOCATION OF POWER OF ATTORNEY (hereinafter "Agreement") is made and effective as of ______________ _____, ________.

TO ALL PERSONS, LET IT BE KNOWN, that the Power of Attorney, dated , for the purpose set forth in said Power of Attorney, is hereby wholly revoked, cancelled and annulled.

the grantor of the Power of Attorney, appointing hereby revokes, rescinds and terminates said Power of Attorney and all authority, rights and power thereto effective this date.

Print Name:___________________________


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