Fill and Sign the Deed Tod 497307371 Form

This space is reserved for the Register of Deeds ______________________________________________________________________________ REVOCATION OF TRANSFER ON DEATH DEED (Individual to Individual) KNOW ALL MEN BY THESE PRESENTS THAT: ______________________ , an individual, married unmarried, as owner, hereinafter referred to as “Grantor”, does hereby revoke the transfer on death deed recorded on____________ (date), in Book ______ , Page ______ , Document No. ______ , of the Recorder of ______________________ County, Kansas for the following described interest in real estate located in __________ County, Kansas: See Legal Description Attached as Exhibit A incorporated by reference as though set forth in full Legal Description:       WITNESS Grantor(s) hand(s) this the ____ day of ________________ , 20 ____ . Revocation of Transfer on Death Deed Page 1 of 2 (1 st Grantor’s Signature)       Print Name STATE OF ______________________ COUNTY OF _________________ This instrument was acknowledged to me on _____________________________ (date) by _____________________________ [name(s) of person(s)]. ______________________________ Notary Public Print Name: _____________________ My commission expires: _____________________ Grantor(s) Name, Address, phone:                                     Revocation of Transfer on Death Deed Page 2 of 2 EXHIBIT A       Revocation of Transfer on Death Deed Exhibit A