Fill and Sign the Tod Form

This document prepared by (and after recording return to): ) ) ) ) ) ) ) ) ) ) -------- Above This Line Reserved For Official Use Only-------------Name:       Firm/Company:       Address:       Address 2:       City, State, Zip:       Phone:       REVOCATION OF TRANSFER ON DEATH DEED (Individual to Individual) KNOW ALL MEN BY THESE PRESENTS THAT: I, ______________________________ , an individual, married unmarried, hereinafter referred to as “Grantor”, as owner, hereby revoke the transfer on death deed recorded on        (date), in docket or book       at page       , or document number       , records of        County, New Mexico for the following described interest in real estate located in        County, New Mexico: 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 ____ . Signature       Print Name Revocation of Transfer on Death Deed Page 1 of 2 COUNTY OF       , STATE OF NEW MEXICO The foregoing instrument was acknowledged before me this       day of       , 20       , by       . My Commission Expires:       Notary Public 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