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

Codicil To Last Will And Testament Form Page 3

to [his/her] Last Will and Testament dated the ____________________ day of ________________,

20__, in the presence of each of us, who, at [his/her] request and in [his/her] presence, and in the

presence of each other, have hereunder subscribed our names as attesting witnesses:

_______________________________________________

[Signature of Witness]

_______________________________________________

[Name of Witness]

_______________________________________________

[Address, City and State]

_______________________________________________

[Phone Number]

_______________________________________________

[Signature of Witness]

_______________________________________________

[Name of Witness]

_______________________________________________

[Address, City and State]

_______________________________________________

[Phone Number]

[Remember: some states require more witnesses or may also require a Notary Public. You should

check with your Plan Attorney to determine whether you have complied with the proper attestation

provisions of your state.]

Codicil To Last Will And Testament Form Page 3