THIS DEED OF SURRENDER

is made this 3rd day of January 1992

BETWEEN CROWN created ENTITY JOHN DOE of UNITED STATES OF AMERICA Birth Certificate 012345678 [hereinafter called “the Debtor”] of the one part and Master John Doe: Doe Birth Certificate 012345678 with clean hands in equity, of United States of America (hereinafter called “Creditor”)of the other part. WHEREAS: (1)By a deed dated 3rd January 1992 made between the Debtor of the first part and the Creditor of the second part (hereinafter called “the deed”)all that property which it shall be lawful for every person to devise, bequeath, or dispose of, by his will, all real estate and all personal estate which he shall be entitled to, either at law or in equity, at the time of his death, and which, if not so devised, bequeathed, or disposed of, would devolve upon the heir of law or customary heir or him, or, if he become entitled by descent, of his ancestor, or upon his executor or administrator, and the power hereby given shall extend to all real estate of the nature of customary freehold or tenant right, or customary or copyhold, not withstanding that the testator may not have surrendered the same to the use of his will, or not withstanding that the same, in consequences of the want of a custom to devise or surrender to the use of a will or otherwise, could not at law have been disposed of by will or not withstanding that the same, in consequence of there being a custom that a will or a surrender to the use of a will should continue in force for a limited time only, or any other special custom, could not have been disposed of by will and also to estates pur autre vie, whether there shall or shall not be any special occupant thereof, and whether the same shall be freehold, customary freehold, tenant right, customary or copyhold, or of any other tenure, and whether the same shall be a corporeal or an incorporeal hereditament; and also to all contingent, executor or other future interests in any real or personal estate, whether the testator may or may not be ascertained as the person or one of the persons in whom the same shall be freehold, customary freehold, tenant right, customary or copyhold, or of any other tenure, and whether the same shall be a corporeal or an incorporeal hereditament; and also to all contingent, executor or other future interests in any real or personal estate, whether the testator may or may not be ascertained as the person or one of the persons in whom the same respectively may become vested, and whether he may be entitled thereto under the instrument by which the same respectively were created, or under any disposition thereof by deed or will; and

not withstanding that he may become entitled to the same subsequently to the execution of his will. 2. and rights respectively. IT is hereby agreed and declared that in this deed where the context so requires the singular shall be deemed to include the plural and vice versa and the masculine gender shall be deemed to include both the feminine gender and the neuter gender. all real estate and all personal estate which he shall be entitled to whether real or incorporeal. IN consideration of the release by the Debtor hereinafter contained the Debtor HEREBY ASSIGNS AND SURRENDERS to the Creditor. and other rights of entry. and other rights of entry. and also to such of the same estates. and rights respectively and other real and personal estate. claims or encumbrances attached by law/or force of law to the legal title and Name contained in Birth Certificate 012345678. (3)The Creditor hereby agrees to surrender to the Debtor the Birth Certificate 012345678 and the Debtor hereby agrees to accept the said surrender. whether there shat or shall not be any special occupant thereof. and also to estates pur autre vie. or under any disposition thereof by deed or will. executory or other future interests in any real or personal estate. NOW THIS DEED WITNESS as follows:1. whether the Creditor may or may not be ascertained as the person or one of the persons in whom the same respectively may become vested. and whether he may be entitled thereto under the instrument by which the same respectively were created. and also to such of the same estates. and whether the same shall be freehold. any liens. as the creditor may be entitled to at the time of his death. and other real and personal estate. and also to all contingent. interests. customary or copyhold.also to all rights of entry for conditions broker. as the testator may be entitled to at the time of his death. The Debtor HEREBY RELEASES the Creditor from all liability cost claims and demands whatsoever arising out of or in respect of non-observance or non-performance. interests. (2)The Property held by the bailee in possession is to vest in the Creditor. or of any other tenure. customary freehold. either at law or in equity. 3. and also to all rights of entry for conditions broken. . notwithstanding that he may become entitled to the same subsequently to the execution of his will. and whether the same shall be a corporeal or an incorporeal hereditament. tenant right.

IN WITNESS whereof the parties hereto have signed this instrument as their deed in the presence of the persons mentioned below on the day and year first before written. SIGNED AND SEALED AS A DEED AND DELIVERED BY TYRONE HARRISON By accommodation ________________Date_______ by the correctly addressed said Creditor Master Tyrone Harrison _______________________Date In the presence of: Name___________________ Address_____________________ Date___________________ .

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