Fill and Sign the Said Person Being over the Age of Form

REVOCATION OF LIVING TRUST TAKE NOTICE that _______________ , the Trustor(s) of THE _______________ REVOCABLE TRUST dated _______________ , as the Assignor, does hereby revoke said trust pursuant to the following provisions: 1. The trust is revoked in full and total. All property of the trust has been or will be reconveyed or reassigned to the Trustor(s) by the Tr ustee of the Trust. The Trust shall remain in force solely for purposes of such reassignments or reconveyances. 2. This revocation shall be effective on _______________ . 3. This revocation shall be binding on the Trustor(s), Trustee(s), Trust Beneficiaries and heirs and assigns of the parties to such trust. 4. This revocation shall not invalidate any lien granted by the Trustee but such liens, if any, shall remain in full force and effect with Trustor(s) being personally responsible for same. DATED this the ________ day of ____________________ , 20 ____ . __________________________________ Trustor Signature Print Name _______________ __________________________________ Trustor Signature Print Name _______________ STATE OF INDIANA COUNTY OF __________________ Before me, the undersigned, a Notary Public, in and for said County and State, this __________ day of ______________ ___, _________, personally appeared _________________________________________, said person being over the age of 18 years, and acknowledged the execution of the foregoing instrument. ___________________________ Notary Public Print Na me: _________________ My commission expires: _____________________