Fill and Sign the Termination Date Before Form

Setting Termination Date and Release by Trustor of Right to Revoke Trust Before The Termination Date Agreement made on the ______________________________________________ (date), between ____________________________________________________ (Name of Trustor) of ____________________________________________________________ ________________________________________________________________________ ___________________________________ (street address, city, county, state, zip code) , referred to herein as Trustor, and _____________________________________________ (Name of Beneficiary) of __________________________________________________ ________________________________________________________________________ ___________________________________ (street address, city, county, state, zip code) , referred to herein as Beneficiary; Whereas, Trustor and ________________________________________________ (Name of Trustee) , as Trustee, entered into a trust agreement on ___________________ ___________________ (date) , under which Trustor transferred to Trustee certain property in trust; and Whereas, Beneficiary is entitled to the income from the Trust created by the trust agreement; and Whereas, pursuant to his right of revocation reserved to him in Section ______ (number) of the trust agreement, Trustor has today by an instrument of revocation caused the trust instrument and the Trust created under it to terminate on ___________________ _________________ ( date) ; and Whereas, pursuant to his right of revocation reserved to him in Section _______ (number) of the trust instrument, Trustor has a further right to revoke the instrument as of a date earlier than _________________________________________ ( date) ; and Whereas, Beneficiary desires that the Trust continue until the termination date set today and that Trustor not act on any further right of revocation which he still has under the trust instrument. Now, therefore, for and in consideration of the mutual covenants contained in this agreement, and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties agree as follows: Trustor hereby cancels, waives, relinquishes, renounces, and abandons any and all rights of revocation which he may still possess under the terms of the above-mentioned trust instrument or by operation of law or in any other manner on or before ____________________________________________ ( date) . Witness my signature this the _________________________________________ (date). ____________________________________ (Printed Name of Trustor) ____________________________________ (Signature of Trustor) ____________________________________ (Printed Name of Beneficiary) ____________________________________ (Signature of Beneficiary) STATE OF __________________________________________ COUNTY OF _____________________________________ Personally appeared before me, the undersigned authority in and for the said county and state, on this ______ day of _______________________________________, 20______, within my jurisdiction, the within named _____________________________ ________________________________ (Name of Trustor), who acknowledged that he is Trustor in the Trust described in the above and foregoing instrument, and that in said representative capacity he executed the above and foregoing instrument, after first having been duly authorized so to do. ___________________________________________ NOTARY PUBLIC My Commission Expires: ______________________ STATE OF ____________________________________________ COUNTY OF _____________________________________ Personally appeared before me, the undersigned authority in and for the said County and State, on ________________________________________________ (date) , within my jurisdiction, the within-named ______________________________________ ____________________________ (Name of Beneficiary), who acknowledged that he executed the above and foregoing instrument. ___________________________________________ NOTARY PUBLIC My Commission Expires: ______________________ (Form of acknowledgements may vary from state to state)