(1) An individual may use the following form to create an instrument of revocation under this part: FULL REVOCATION OF TRANSFER ON DEATH DEED NOTICE TO OWNER This revocation must be recorded before you die or it will not be effective. This revocation is effective only as to the interests in the property of owners who sign this revocation. IDENTIFYING INFORMATION Owner or Owners Making This Deed: _______________________________ ______________________________ Printed Name Mailing Address _______________________________ ______________________________ Printed Name Mailing Address Legal Description of Property (Pursuant to Utah Code Section 57-3-105): _________________________________________________________ Tax Identification Number for Property: _________________________________________________________ REVOCATION I revoke all my previous transfers of this property by transfer on death deed. SIGNATURE OF OWNER OR OWNERS MAKING THIS DEED _______________________________ ______________________________ Signature Date _______________________________ Printed Name _______________________________ ______________________________ Signature Date _______________________________ Printed Name ACKNOWLEDGMENT (Attach an affidavit of acknowledgment pursuant to Utah Code Section 46-1-6.5 to the form.)
(2) The other sections of this part govern the effect of the form described in Subsection (1) or any other instrument used to revoke a transfer on death deed.