Illinois Revocation Power of Attorney Form

The Illinois revocation power of attorney form is a legally recognized document that allows a Principal who has previously completed a power of attorney document and would like to revoke the powers to the Agent(s). The Principal may complete the document and have copies delivered to the Agent(s) and all other interested parties to  reclaim their powers and stop access to all others.

This document must be notarized to be effective.

How to Write

Step 1 – Principal’s Information –

  • Enter the Principal’s Name
  • Address
  • City
  • County
  • State
  • Enter any health care and property power(s) of attorney that are
  • being revoked
  • Enter the name of the Agent
  • Date the Document in mm/dd/yyyy format
  • Enter the Principal’s Signature

Step 2 – Notary’s Acknowledgement –

  • Once the notary has witnessed the signature of the document, the notary will then be required to complete the notary section with their licensed information, in acknowledgement. The notary will then enter the Notary’s official state seal