Revocation of a Trust I, _____________ ("Grantor"), do hereby revoke the ______________("Trust"). All assets remaining in the Trust shall be re-transferred to the Grantor. ______________________ Grantor ______________________ Acknowledged by Trustee Date: STATE OF __________________. COUNTY OF _________________. This instrument was acknowledged before me on this __ day of ________, 20__, by Grantor, _____________, as his/her free act and deed. ___________________ Notary Public My commission expires on: