The “South Carolina Revocation of Power of Attorney Form” is a legal document that formally allows an individual to cancel or revoke a previously granted power of attorney.

This document is essential because it ensures that the person who was previously given the authority (the agent) no longer has the right to act on behalf of the principal. It’s a protective measure that ensures clarity and safeguards the interests of all parties involved.


Part I


In this section, you’re given a clear choice regarding the specific domain for which you’re revoking power of attorney. This aims to provide clarity and specificity, ensuring that the revocation only applies to your intended area.



Step 1: Health Care Powers


Select this if you’re revoking the authority for someone to make healthcare decisions on your behalf. This can encompass decisions like medical treatments or end-of-life choices.



Step 2: Financial Powers


This pertains to any financial decisions or transactions. By ticking this, you’re ensuring that the said individual will no longer have the authority to handle your financial matters.



Step 3: Other


Other specific powers might not be mentioned in the first two options. In such cases, you can manually specify what they are.


Step 4: Principal’s Name


This is the space where the principal, the person who initially granted the power of attorney, writes their full legal name. It’s essential to establish the identity of the person revoking the power.


Step 5: Document Titled 


Here, you’ll specify the title of the original power of attorney document. This ensures there’s no ambiguity about which document you’re referring to.


Step 6: Execution Date


Indicate the exact date when the original power of attorney was signed. This provides a clear timeline and helps in establishing the validity of the revocation.



Step 7: Agent’s Name


Write the full name of the agent, the person who was given the authority in the original power of attorney. This ensures clarity on who the revocation is addressing.


Step 8: Alternate Successor Agent



If an alternate or successor agent was named in the original document, their name goes here. This ensures that if the primary agent can’t act, the successor also knows their powers have been revoked.


Step 9: Revocation Date


This is the date when the revocation is being executed. It’s crucial to establish when the powers were officially revoked.


Step 10: Signature of Principal


The principal signs here to authenticate the document. A signature is a personal mark of agreement and intention.



Step 11: Print Name



The principal should print their name clearly for legibility after signing. This ensures there’s no confusion about the signer’s identity.


Part II




Step 1: County


Specify the county in South Carolina where the notarization is taking place. This provides jurisdictional context.


Step 2: Name of Notary Public


The notary public, who is witnessing and authenticating the document, writes their name here. This ensures the document’s authenticity and legal standing.


Step 3: Principal’s Name


The notary confirms the identity of the person who appeared before them, usually the principal. This is a verification step.



Step 4: Print Name


The notary prints their name for clarity and legibility.



Step 5: Expiration Date


The notary indicates the expiration date of their commission. This is essential to ensure the notary was acting within their valid timeframe.




The “South Carolina Revocation of Power of Attorney Form” is a pivotal document that ensures the principal’s wishes are respected and that any previously granted powers are officially and legally revoked.

It’s a testament to the importance of clarity, protection, and the rule of law. Always ensure that every field is filled out accurately and that the document is notarized to guarantee its authenticity and enforceability.