Återkallelse av fullmakt - mall, exempelformulär

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Återkallelse av fullmakt - mall, exempelformulär

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________

Återkallande av fullmakt

§ 1. Fullmaktsgivare

Namn: ________
Personnummer: ________
Adress: ________
Telefon: ________
E-postadress: ________

§ 2. Fullmaktstagare

Namn: ________
Personnummer: ________
Adress: ________
Telefon: ________
E-post: ________

§ 3. Återkallande

Härmed återkallar jag den fullmakt som ställts ut muntligen till fullmaktstagaren den ________.

Fullmaktens omfattning:

________

§ 4. Underskrift

Ort och datum: ________ Underskrift av fullmaktsgivare:

__________________________

Namnförtydligande: ________

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