N.H. Rev. Stat. § 563-D:20
The following form may be used to create an instrument of revocation under this chapter. The other sections of this chapter govern the effect of this or any other instrument used to revoke a transfer on death deed.
NOTICE: This revocation must be recorded by the earlier of 60 days from date of execution or the owner's date of death, or it will not be effective.
REVOCATION OF REVOCABLE TRANSFER ON DEATH DEED
Identifying information:
Owner or owners of property making this revocation:
_____________________________________ ________________________________
Print name of owner Owner's mailing address
(Add lines as needed for additional owners.)
PROPERTY
The real property is located in the Town (City) of _________________, County of __________________, State of New Hampshire, and is more particularly bound and described as follows:
(Insert legal description of land or interest including encumbrances, reservations, and exceptions. A street address by itself is not sufficient.)
I revoke all my previous transfers of this property by revocable transfer on death deed, pursuant to the Uniform Real Property Transfer on Death Act, New Hampshire RSA 563-D.
Signature of owner(s) making this revocation:
______________________________________ __________________________
Signature Date
(Add lines as needed for additional owners.)
STATE OF ___________________
COUNTY OF _________________
The foregoing instrument was acknowledged before me this ___ day of ____________________ by ____________________(name of owner).
__________________________________
Notary Public/Justice of the Peace
My commission expires: ______________
Notary Seal or Stamp:
(Add additional acknowledgments as needed.)
RSA 563-D:20