Fill and Sign the Texas Revocation Form 497327826

NOTICE OF CONFIDENTIALITY RIGHTS: IF YOU ARE A NATURAL PERSON, YOU MAY REMOVE OR STRIKE ANY OF THE FOLLOWING INFORMATION FROM THIS INSTRUMENT BEFORE IT IS FILED FOR RECORD IN THE PUBLIC RECORDS: YOUR SOCIAL SECURITY NUMBER OR YOUR DRIVER’S LICENSE NUMBER. REVOCATION OF DECLARATION OF APPOINTMENT OF GUARDIAN FOR MY CHILDREN IN THE EVENT OF MY DEATH OR INCAPACITY I, __________________________ , executed a Declaration of Appointment of Guardian For My Children on the ______ day of __________________________ , 20 ______ , in which I designated __________________________ to serve as guardian of the person of my (child or children), __________________________ as first alternate guardian of the person of my (child or children), __________________________ as second alternate guardian of the person of my (child or children), and __________________________ as third alternate guardian of the person of my (child or children). I also designated __________________________ to serve as guardian of the estate of my (child or children), __________________________ as first alternate guardian of the estate of my (child or children), __________________________ as second alternate guardian of the estate of my (child or children), and __________________________ as third alternate guardian of the estate of my (child or children). Pursuant to Estates Code Section 1104.159, which provides that I may revoke this designation in the same manner as a will may be revoked as provided for in Section 253.002 of the Estates Code (which provides that "A written will, or a clause or devise in a written will, may not be revoked, except by a subsequent will, codicil, or declaration in writing that is executed with like formalities, or by the testator destroying or canceling the same, or causing it to be destroyed or canceled in the testator's presence.”) , I hereby execute this written revocation of my Declaration. - 1 - Signed this ______ day of __________________________ , 20 ______ . ______________________________________________________________________________ Declarant ______________________________________________________________________________ Witness ______________________________________________________________________________ Witness SELF–PROVING AFFIDAVIT Before me, the undersigned authority, on this date personally appeared __________________________ , the declarant, and __________________________ and __________________________ as witnesses, and all being duly sworn, the declarant said that the above instrument was his or her Declaration of Appointment of Guardian for the Declarant's Children in the Event of Declarant's Death or Incapacity and that the declarant had made and executed it for the purposes expressed in the declaration. The witnesses declared to me that they are each 14 years of age or older, that they saw the declarant sign the declaration, that they signed the declaration as witnesses, and that the declarant appeared to them to be of sound mind. ________________________________ Declarant ________________________________ ______________________________________ Affiant Affiant Subscribed and sworn to before me by ______________________, the above named declarant, and ___________________________________ (names of affiants) affiants, on this _______ day of ______________, 20_____. _______________________________________ Notary Public in and for the State of Texas My Commission expires: ________________________ - 2 -