(for making a change or addition to an existing will)
I, [First Name][Last Name], a resident of the County of , State of [State], declare that this is the codicil to my last will and testament, which is dated .
I add or change said last will in the following manner:
Otherwise, I hereby confirm and republish my will dated, , in all respects other than those herein mentioned.
I subscribe my name to this codicil this day of , , at , in the presence of [full name of first witness to codicil], [full name of second witness to codicil], and , attesting witnesses, who subscribe their names here in my presence.
On the date last above written, , known by us to be the person whose signature appears at the end of this codicil, declared to us,, and , the undersigned, that the foregoing instrument, consisting of page(s), was the codicil to the will dated, ; who then signed the codicil in our presence and now in the presence of each other, we now sign our names as witnesses.
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