We, __________________________ and __________________________,
the witnesses, sign our names to this instrument and being first sworn, declare to the
undersigned authority that the Testator signs and executes this instrument as his First
Codicil to his Last Will and Testament and that he signs it willingly and that each of us,
in the presence and hearing of the Testator, signs this Will as witness to the Testator's
signing, and that to the best of our knowledge the Testator is eighteen (18) years of age or
older, of sound mind, and under no constraint or undue influence.
Witness
Witness
SUBSCRIBED, SWORN TO and acknowledged before me by
______________________________, the Testator, and subscribed and sworn to before
me by ______________________________ and _______________________________,
witnesses, this ____ day of _____________________, 200___.
Notary Public in and for Alaska
My Commission Expires:____________
FIRST CODICIL TO LAST WILL & TESTAMENT OF ____________________ - Page 3 of 3
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