Fill and Sign the Transfer Deed Beneficiary 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 Two Individuals) KNOW ALL MEN BY THESE PRESENTS THAT: I, ______________________________ , an individual, married unmarried, hereinafter referred to as “Grantor”, do hereby revoke the transfer on death deed recorded on _______________ (date), in docket or book _______________ at page __________, or instrument number __________, records of _______________ county, Arizona. WITNESS Grantor(s) hand(s) this the ____ day of ________________ , 20 ____ . Grantor       Type or Print Name State of Arizona , County of       The foregoing instrument was acknowledged before me this       day of       , 20       , by       . Notary Public       Print or Type Name My Commission Expires:       Grantor’s Name, Address and Telephone:                   Revocation of Transfer on Death Deed Page 1 of 2       Revocation of Transfer on Death Deed Page 2 of 2