This Revocation of Trust is made this _____ day of ________________, 200(x).
WHEREAS, on the _____
day of ________________, 200(x), I created by written
declaration of a revocable trust a copy of which is attached hereto, and having
reserved the right to revoke, annual and cancel said trust and the declaration
creating it, I do now hereby revoke said trust, with all of the principal
thereof reverting absolutely to me, with all right and title thereto. I further
declare the Trustee of said trust free and discharged from all further
responsibility for the administration and management of said trust and the
principal thereof.
_____________________________ ___________________________
Trustor
Notary:
STATE OF ___________________)
COUNTY OF __________________)
On this ______ day of __________________, 200(x)_, before me personally came and appeared ____________________, known, and known to me, to be the individuals described in and who executed the foregoing instrument, and who duly acknowledged to me that they executed same for the purpose therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.
___________________________
My Commission Expires: ____________________
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