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Revocation of Power of Attorney (Ontario)

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REVOCATION OF POWER OF ATTORNEY

I, ______, of ______, make this revocation.

  1. On ______, I made ______ naming ______ as attorney (the “earlier power of attorney”).

  2. I revoke the earlier power of attorney in full, with every authority it gave. If it named a substitute attorney, that appointment is revoked as well.

  3. I make this revocation in writing and sign it in the presence of two witnesses, as the Substitute Decisions Act, 1992 requires.

  4. I direct each attorney named in the earlier power of attorney to stop acting under it and to return to me the original and every copy they hold.

  5. I will give a copy of this revocation to each attorney named in the earlier power of attorney, and to every person or institution that I know holds a copy of it or has relied on it, such as my bank or my health care providers.

Signed at ______________________, Ontario, on ______________________.

______________________________
Signature of grantor

______

Who may witness. Each witness must be 18 or older and must not be: an attorney or substitute attorney named in the earlier power of attorney, or the spouse or partner of one; my spouse or partner; my child, or a person I have shown a settled intention to treat as my child; or a person whose property is under guardianship or who has a guardian of the person.

Signed by the grantor in our presence. We have each signed below as witnesses, in the grantor's presence.

______________________________
Signature of first witness
Name: ______________________
Address: ______________________

______________________________
Signature of second witness
Name: ______________________
Address: ______________________