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REVOCATION OF A REVOCABLE LIVING TRUST AGREEMENT TO: ________________________________________, Trustee (name) ________________________________________ (address) ________________________________________ (city and state) I, (name), of (address), City of (city), State of (state), as grantor in a Revocable Living Trust Agreement dated (date), wherein you are designated as trustee, do hereby revoke the powers and trusts created and conferred by grantor in that Revocable Living Trust Agreement, pursuant to the terms thereof. I hereby direct you, as trustee, to turn over and deliver to me all property held by you subject to the terms and provisions of the Revocable Living Trust Agreement, together with all accumulations of interest and income. In Witness Whereof, I have executed this instrument on the (day) day of (month), (year), at (city), (state). In the presence of: _________________________ Grantor _________________________ _________________________ Witness 1 Witness 2 Sworn to and subscribed before me this (day) day of (month), 19(year). My commission expires: _________________________ Notary Public _________________________ Date
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1/5/2008
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