DIY Legal Forms

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WHEREAS, on [Date], I, [Name], executed my last will and testament, and;

WHEREAS, I made various instructions and bequests, and,

WHEREAS, I desire to revoke a bequest

I NOW PUBLISH THIS CODICIL to my last will and testament of [Enumerate]:

I reaffirm all parts and exhibits of said will, except that, I:

revoke and rescind that certain bequest to [Name] of [Address], and that this bequest shall pass with the residue of the estate.



[Name], Testator

I herewith affix my signature to this codicil on [Date], at [Location], in the presence of the following witnesses, who witnessed and subscribed this codicil at my request, and in my presence.

Attestation Clause

On the date above written, [Name], well known to us declared to us, and in our presence, that this instrument, consisting of [--] pages, is a codicil to their last will and testament, and [Name], then signed this instrument in our presence, and at [Name] request we now sign this codicil as witnesses in each other's presence. Further that [Name], appeared to us to be of sound mind and lawful age, and under no undue influence.










STATE OF _________)

COUNTY OF ________)

Before me, the undersigned authority authorized to take acknowledgments and administer oaths, personally appeared:

who after being having duly sworn or affirmed to tell the truth, stated:

1. That declared this instrument to be a codicil to their last will and testament to the witnesses.

2. That signed this instrument in their presence.

3. That the witnesses signed as witnesses in the presence of and each other.

4. That is well known to the witnesses, and the witnesses believe to be of lawful age, of sound mind and under no undue influence or constraint.



Title of Officer:_______________

My Commission Expires: