Sample Codicil Form printable pdf download

Sample Codicil Form

This is a codicil of me ……….. (name) of …………..(address). I declare this to be a

first/second/other (delete as appropriate) codicil to my will dated ……(day) …..(month)…..

(year) (“the will”).

1. The will shall be construed and take effect as if it contained the following clause:

“I give to the Peace Hospice Care, Peace Drive, Watford, Hertfordshire, WD17 3PH,

registered charity number 1002878, the sum of £………… /…………..(description of item)/…….

% share of my estate (delete as appropriate) for their general purposes and I direct that the

receipt of an authorised officer of Peace Hospice Care shall be a full and sufficient discharge

to my personal representative(s)”.

2. In all other respects I confirm the will.

IN WITNESS whereof I have hereunto set my hand this day of …….(day) …….(month) ……….

(year).

SIGNED by ……………….(your name) as a first/second/other (delete as appropriate) Codicil to

the Will dated ………………….(date).

(Signature)

in our joint presence and then by us in his/hers.

FIRST WITNESS

(Signature of witness here)

Name

Address

Occupation

SECOND WITNESS

(Signature of witness here)

Name

Address

Occupation

(This must be signed and witnessed in the same way as your original will. Please speak with

your solicitor about index linking a pecuniary gift to preserve its value. The completed

Codicil should be kept with your will)

Sample Codicil Form