Codicil To Last Will And Testament Form Page 2

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CODICIL
TO
LAST WILL AND TESTAMENT
OF
_________________________________________________
I, _______________________________________, residing at __________________
________________________________________________________________________________,
declare this to be a Codicil to my Last Will and Testament dated the ____________________day of
_____________________, 20__.
Paragraph 1.:
At this time I revoke Paragraph ____ of my Last Will and
Testament, and direct that the property described in that paragraph shall go to the following:
[Person] or [Persons] or [Charitable Organization] or [Other] _______________________________
_________________________________________________________________________________
at the following address:
_________________________________________________________
________________________________________________________________________________.
Paragraph 2.:
In all other respects, I confirm the provisions of my Last Will
and Testament. In witness whereof, I have hereunto set my hand and affixed my seal to this Codicil
to my Last Will and Testament this ______________________ day of _______________, 20__.
_____________________________________________
[Name - Signature]
_____________________________________________
[Name - Printed]
ATTESTATION
The foregoing Codicil, consisting of ________ page(s), was this _________________
day of _________________, 20__, signed, sealed, and declared by the Testator as and for a Codicil

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