Revocation Of Trust

This Revocation of Trust is made this _____ day of ________________, 201(x).


WHEREAS, on the _____ day of ________________, 201(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.

_____________________________ ___________________________



STATE OF ___________________)

COUNTY OF __________________)

On this ______ day of __________________, 201(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: ____________________