I witnessed the signing of the statement of acceptance by the alternative attorney. Signed: [signature of witness] Date: Note: Each alternative attorney must sign a statement of acceptance and it must be witnessed separately in the enduring power of attorney. *Delete if not applicable. 2 Regulation 6 Name of principal: Address of principal: under section 44 of the I revoke Powers of Attorney Act 2014: *the enduring power of attorney made by me on [insert date made]. *the appointment of my attorney(s) [insert name (or position) of attorney or of [insert attorneys if revoking the appointment of more than one] address(es) under the enduring power of attorney made by me of attorney(s) (if known)] on [insert date made]. *the appointment of my alternative attorney(s) [insert name of alternative attorney or alternative attorneys if revoking the appointment of more than of [insert under the one] address(es) of alternative attorney(s) (if known)] enduring power of attorney made by me on [insert date made].
I witnessed the signing of the statement of acceptance by the alternative attorney. Signed: [signature of witness] Date: Note: Each alternative attorney must sign a statement of acceptance and it must be witnessed separately in the enduring power of attorney. *Delete if not applicable. 2 Regulation 6 Name of principal: Address of principal: I revoke under section 44 of the Powers of Attorney Act 2014: *the enduring power of attorney made by me on [insert date made]. *the appointment of my attorney(s) [insert name (or position) of attorney or attorneys if revoking the appointment of more than one] of [insert address(es) of attorney(s) (if known)] under the enduring power of attorney made by me on [insert date made]. *the appointment of my alternative attorney(s) [insert name of alternative attorney or alternative attorneys if revoking the appointment of more than one] of [insert address(es) of alternative attorney(s) (if known)] under the enduring power of attorney made by me on [insert date made].
15-093sr.docx