This Revocation of Trust is made this _________(1)________ day of ________(2)

________, __________(3)________.

WHEREAS, on the ________(4)_______ day of ________(2)________, _____(3)

______, 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


____________(7)_________________ ____________(8)_______________



STATE OF ________(9)___________)


COUNTY OF __________(10)______________)

On this _______(11)______ day of ________(12)________, _______(13)_______,

before me personally came and appeared _________(14)___________, 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: _________(16)___________


The information in this document is designed to provide an outline that you can follow

when formulating business or personal plans. Due to the variances of many local, city, county

and state laws, we recommend that you seek professional legal counseling before entering into

any contract or agreement.

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