REVOCATION OF TRUST
As the original grantor of the Trust, I, ______________________________________________,
hereby revoke the ___________________________________________________ (the "Trust").
All assets remaining in the Trust shall be re-transferred to the Grantor.
A copy of this Revocation of Trust is being provided to _______________________________,
the current Trustee of the trust.
__________________
___________________________________________
Date
___________________________________________ Grantor
STATE OF
______________________________________
COUNTY OF ______________________________________
This instrument was acknowledged before me on this _____ day of _______________, 20_____,
by ___________________________________ as Grantor.
____________________________________
Notary Public
My commission expires ________________