Revocation of Authorization
A revocation letter cancels a permission you gave earlier: an authorization letter, a pickup list, or a private sponsorship. It does not revoke a statutory power of attorney unless the power of attorney and your state's law say a letter like this is enough. For a real power of attorney, follow the revocation method on that document and tell every bank that relied on it. For an ordinary letter, deliver this revocation to the same office that has the original, and keep proof of delivery. Say the date of the old permission and that it is canceled as of today.
For the person who granted an earlier permission. When: as soon as you want the permission to stop, delivered to every office that has the old letter.
Naming a state changes the note on the page. It does not add that state's required clauses, fees, or font rules. Papero does not invent statutes.
8 lines are still blank. You can still print. Write "not applicable" on a line that does not apply.
Leaving this page clears what you typed. Papero does not save it. On a shared computer, press Clear before you walk away.
Preview. This is the page that prints.
Revocation of Authorization
You
Old
Now
Signature
Signature
Date
Why this form exists, and what it will not do
Revocation of Authorization is for the person who granted an earlier permission. The moment to use it: as soon as you want the permission to stop, delivered to every office that has the old letter. It sits in the Letters and statements group on Papero. Authorizations, affidavits, and declarations, with a notary block where one is usual.
Fill it in this browser. Papero does not create an account, does not upload the answers, and does not keep a copy after you close the tab. When the preview looks right, print it or download a PDF. The PDF is built on your device. A blank download leaves the lines empty so someone else can fill them by hand.
Work through the page in order. The You section asks for Your name, Your address and phone, Sent to. The Old section asks for Date of the authorization you are canceling, Person who was authorized, What it allowed. The Now section asks for Canceled as of, Anything that remains allowed.
Your name. Name. Your address and phone. So the office matches the file. Sent to. The office that has the old letter. Date of the authorization you are canceling. The date on that letter.
Person who was authorized. Name. What it allowed. A short description. Canceled as of. Usually today. Anything that remains allowed. Write "nothing" unless a narrow piece remains.
People send this back, or refuse it, for ordinary reasons. You revoke a statutory power of attorney with only this page and never tell the bank. You do not identify the earlier letter. You tell the agent but not the office. Read the finished page once as if you were the person receiving it. If a line would make you call back, fill that line.
Sign on the Signature and Date line. A typed name in the signature spot is weaker than ink on a printed page. Date it the day you sign, not the day you hope the other person signs.
What this page cannot do: A letter of authorization is not a power of attorney. Banks, the IRS, land records, and many hospitals reject a homemade power of attorney and require the statutory form. An affidavit is a sworn statement. Many recipients reject it if a notary did not complete the jurat. The notary block is blank on purpose. Papero is not a notary and cannot put a seal on the page. Papero is not a law firm, not a government agency, and not the office that will accept or reject the paper.
State note for your state. Revocation of Authorization does not contain your state's required clauses, font size, language, or filing fee. Counties and cities inside your state sometimes add their own rule on top of the state. Before you rely on this for a lease, a school, a court, a bank, or an agency, compare it with the form that office publishes. If the office has no form, this template is a clear record of what you wrote and what you signed on this date.
After you print, use dark ink. Write "not applicable" on a line that does not apply, so a clerk does not treat a blank as a missing fact. Initial a correction beside the line. Do not cover a dollar amount with correction fluid. Each person who has a signature line signs their own name. One person cannot sign for another unless a statutory power of attorney, on the form that office accepts, already says so. Give the other party a copy the same day. On your copy, note the date and whether you handed it over, mailed it, or uploaded it to their portal. Attach copies of supporting papers, not your only original, unless the office demanded the original. Do not attach a Social Security card, a passport image, or a bank statement unless the recipient told you to, and then only in person or through their secure portal. Email is a common way those images are stolen. If the recipient is a government office, stop and use the form on that office's own site. Papero does not transmit this page, does not notarize it, and does not store it.
Keep a copy. Give the other party a copy. If you later change a fact, fill the form again and date the new copy. Do not scribble a second story into the margin of a page someone already signed. Write the date you handed it over, and how, on your own copy.
Before you rely on it
- You revoke a statutory power of attorney with only this page and never tell the bank.
- You do not identify the earlier letter.
- You tell the agent but not the office.
A letter of authorization is not a power of attorney. Banks, the IRS, land records, and many hospitals reject a homemade power of attorney and require the statutory form. An affidavit is a sworn statement. Many recipients reject it if a notary did not complete the jurat. The notary block is blank on purpose. Papero is not a notary and cannot put a seal on the page.
How to fill and print it
- Fill the lines. Type into the Revocation of Authorization in this browser. Write "not applicable" on a line that does not apply. What you type stays in this tab and is not uploaded.
- Check the preview. The boxed preview is the page that prints. Read it once as the person who will receive the paper.
- Print or download. Use Print, or download a filled PDF or a blank PDF. The file is built on your device.
More Letters and statements forms
Questions
What is a Revocation of Authorization used for?
A revocation letter cancels a permission you gave earlier: an authorization letter, a pickup list, or a private sponsorship.
Who should use this Revocation of Authorization?
It is for the person who granted an earlier permission. Use it when as soon as you want the permission to stop, delivered to every office that has the old letter.
Does this Revocation of Authorization need a notary?
No. This Revocation of Authorization has no notary block. Sign the Signature, Date line in ink on the printed page if you are handing it to someone.
Will a Revocation of Authorization from Papero be accepted?
You revoke a statutory power of attorney with only this page and never tell the bank. A letter of authorization is not a power of attorney. Banks, the IRS, land records, and many hospitals reject a homemade power of attorney and require the statutory form. An affidavit is a sworn statement. Many recipients reject it if a notary did not complete the jurat. The notary block is blank on purpose. Papero is not a notary and cannot put a seal on the page.
What gets a Revocation of Authorization sent back?
You revoke a statutory power of attorney with only this page and never tell the bank. You do not identify the earlier letter. You tell the agent but not the office.