Tis revocation form must be recorded in the same county as the Designated Benefciary Agreement form it revokes.Designated Beneficiary Agreement • June 11th, 2009
Contract Type FiledJune 11th, 2009Te indexing fle number of the Designated Benefciary Agreement is . I hereby revoke that Designated Benefciary Agreement, efective on the date and time that this revocation is received for recording by the