Free Virginia Revocation of Power of Attorney Form - Word 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by selecting the type of power of attorney you are revoking: Health Care Powers, Financial Powers, or Other. Check the appropriate box.
3. In the first blank field, enter your name as the principal who is revoking the power of attorney.
4. Fill in the title of the document you previously executed that you wish to revoke.
5. Indicate the date on which you executed the original power of attorney document.
6. Provide the names of your appointed agent and alternate successor agent in their respective fields.
7. Sign and date the form at the bottom where indicated, ensuring your signature matches your printed name.
8. Complete the Notary Acknowledgment section if required, including details such as county and notary information.

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