WHEREAS, on , I, , executed my last will and testament, and; WHEREAS, I made various instructions and bequests, and, WHEREAS, I desire to add an additional provision to the will; I NOW PUBLISH THIS CODICIL to my last will and testament of :
I reaffirm all parts and exhibits of said will, except that, I:
I direct that the executors of my estate enact these requests as if they were part of my last will and testament.
I herewith affix my signature to this codicil on this the day of
, 20 at , in the presence of the following witnesses, who witnessed and subscribed this codicil at my request,
and in my presence.
On the date above written, , 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 , then signed this instrument in our presence, and at ’s request we
now sign this codicil as witnesses in each other’s presence. Further that appeared to us to be of sound mind and lawful age, and under no undue influence.
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.
My Commission Expires:
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