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Navy JAG – SPOA – Letter of Revocation

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SPOAs

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Special Power of Attorney - Letter of Revocation

Please complete the following fields.

Basic SPOA Info

Grantor's Full Name

Grantor's Country and State

Today's Date as Notary Date Use Civilian Notary

Command or location where document will be notarized:

Notary State

Grantee Mailing/Business/Residential Address Expiration Date of SPOA Durable Power of Attorney

M.I.A. language (Active Duty)

Letter of Revocation Options

Add Another Financial/Credit Issuer/Line of Credit:

Add Another Financial/Credit Issuer/Line of Credit:

Add Another Financial/Credit Issuer/Line of Credit:

Add Another Financial/Credit Issuer/Line of Credit:

Add Another Financial/Credit Issuer/Line of Credit:

Add Another Financial/Credit Issuer/Line of Credit:

Add Another Financial/Credit Issuer/Line of Credit:

Add space for two witnesses
Keep second notary block

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Office of the Judge Advocate General, U.S. Navy. Practitioners

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