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South Carolina Revocation of Power of Attorney Form

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The South Carolina power of attorney revocation form is used to revoke a pre-existing POA. It is important that in addition to filling out this form that your agent and back up agent and any others who may have used or may use your old POA be provided copies of this form once you have signed it because they may not be liable for continuing to act on the POA if they do not have notice that it has been revoked.


How to Write

1 – The Revocation Of Appointment Template Should Be Downloaded Here

This revocation can be obtained directly through any of the buttons furnished with the preview picture on this page. Download a copy at your discretion when you are ready.

2 – The Category Of The Previously Issued Principal Powers Should Be Reported

This Principal Revocation will need to start by classifying the sort of Principal Powers being revoked. Normally, such Authority may be classified as “Health Care Powers” (first checkbox) or “Financial Powers” (second checkbox). If neither of these classifications applies then, mark the third checkbox and enter what types of Powers are being revoked on the blank line after the word “Other.” Mark one of the three boxes at presented at the top of this page.  

3 – The Principal And The Document That Appointed The Revoked Powers Must Be Declared

The body of this template will also need some information reported in specific areas. This will supplement the language in a manner that applies this revocation to the previously issued Authority. Use the first blank line in this paragraph to record the Principal’s Legal Name.Next, we will need to make sure the appointment form being terminated or revoked here is clearly defined so there is no question as to what Powers are being terminated and whose Principal Power is being revoked. Begin by recording the Full Title of the paperwork being revoked on the blank space following the words “…Covering Decisions Of The Document Titled”It is standard to use an appointment’s Execution Date to properly reference it. We will need to record the Execution Date of the concerned appointment document on the blank lines following the words “…Previously Executed On The”

4 – Each Attorney-in-Fact Involved Must Be Named To Revoke His Or Her Principal Powers

The Attorneys-in-Fact and Alternate Agents named in the previous Appointment as being the recipients of Principal Authority will also need to be named so the Principal Authority assigned to them through the revoked appointment can be terminated. Enter the Legal Name of the Attorney-in-Fact on the empty line that follows the word “…Appointed” then on the line that precedes the term “…As My Alternate Successor Agent” fill in the Alternate Agent’s Name. Each of these Names must be transcribed precisely from the appointment being revoked. Note: Each Attorney-in-Fact and Successor Agent in the previous appointment must be named thus if there is not enough space you may continue the roster of agents on a separate sheet of paper then attached it to this template before the Principal signs it.

5 – The Principal’s Signature Date And Signature Must Be Provided By The Principal

At the bottom of this page, several more items will be required. Only the revoking Principal may satisfy these items. He or she will need to record the Date this template is being signed in the sentence starting with the words “This Revocation Was Signed The…”Below this, the Principal must produce his or her Signature and Printed Name in the area provided.

6 – This Revocation Should Be Notarized

Once signed, the Principal should give this document to the Notary Public in attendance so that it may be notarized

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