75-6-417. Optional form of revocation.
(1) An individual may use the following form to create an instrument of revocation under this part:NOTICE TO OWNERThis 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 INFORMATIONOwner or Owners Making This Deed:_____________________________________________________________Printed NameMailing Address_____________________________________________________________Printed NameMailing AddressLegal Description of Property (Pursuant to Utah Code Section):_________________________________________________________Tax Identification Number for Property:_________________________________________________________REVOCATIONI revoke all my previous transfers of this property by transfer on death deed.SIGNATURE OF OWNER OR OWNERS MAKING THIS DEED_____________________________________________________________SignatureDate_______________________________Printed Name_____________________________________________________________SignatureDate_______________________________Printed NameACKNOWLEDGMENT(Attach an affidavit of acknowledgment pursuant to Utah Code Sectionto the form.) 57-3-105 46-1-6.5
(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.