First Codicil To The Last Will And Testament Page 2

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I, ______________________, the Testator/Testatrix, sign my name to this instrument
this ______ day of ___________, and being duly sworn, do hereby declare to the undersigned
authority that I sign and execute this instrument as the First Codicil to my Last Will and
that I sign it willingly, that I execute it as my free and voluntary act for the purposes
therein expressed, and that I am eighteen years of age or older, of sound mind, and under
no constraint or undue influence.
________
INSERT TESTATOR/TESTRIX NAME
We, INSERT WITNESS NAME and INSERT WITNESS NAME, the witnesses, sign
our names to this instrument, and being duly sworn, do hereby declare to the undersigned
authority that the Testatrix signs and executes this instrument as the First Codicil to her
Last Will and that she signs it willingly, and that each of us in the presence and hearing of
the Testatrix hereby signs this First Codicil as witness to the Testatrix's signing, and that
to the best of our knowledge, the Testatrix is eighteen years of age or older, of sound mind,
and under no constraint or undue influence.
________
INSERT WITNESS NAME
________
INSERT WITNESS NAME
STATE OF NEW JERSEY
)
)
ss:
COUNTY OF MERCER
)
Subscribed, sworn to, and acknowledged before me by _______________________,
the Testator/Testatrix, and subscribed and sworn to before me by INSERT WITNESS
NAME and INSERT WITNESS NAME, witnesses this ______ day of ___________.
[Notary Seal, if any]:
________
Signature of Notarial Officer
Notary Public for the State of New Jersey
My commission expires_________________
2

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