Codicil To Last Will And Testament (Page 3 of 3) in pdf

Codicil to Last Will & Testament to provide support to the Chi Phi Educational Trust

THIS IS A SAMPLE ONLY.

YOU SHOULD CONSULT YOUR OWN LEGAL ADVISOR

BEFORE EXECUTING ANY LEGAL DOCUMENT

STATE OF GEORGIA

COUNTY OF (_________________)

Before me, the undersigned authority, on this day personally appeared the undersigned persons,

known to me to be the testator and the witnesses whose names are subscribed to the annexed or

foregoing instrument in their respective capacities, and, all of said persons being by me duly sworn, and the

testator declared to me and to the said witnesses in my presence that said instrument is the testator's

Codicil to Last Will and Testament and that the testator had willingly made and executed it as the

testator's free act and deed for the purposes therein expressed. The witnesses, each on oath, stated to me

in the presence and hearing of the testator that the testator had declared to them that the instrument is

the testator's Codicil to Last Will and Testament and that the testator executed same as such and wanted

each of them to sign it as a witness; and upon his or her oath each witness stated further that he or she did

sign the same as witness in the presence of the testator and at testator's request; that the testator was at

that time 14 years of age or over and was of sound mind; and that each of said witnesses was then at least

14 years of age.

__________________________________________________________________(SEAL)

(Testator Name)

______________________________________________________________________

Witness

____________________________________________________________________

Witness

Sworn to and subscribed before me by (testator), testator, and sworn to and subscribed before me

by _____________________________ and ________________________, witnesses, this _____ day of ___________, [year].

__________________________________________________________________________

Notary Public

Codicil To Last Will And Testament Page 3