Fillable Printable Codicil to Will Form

Codicil to Will Form

CODICIL TO WILL: form to change, add to, and republish a will

_________[Second] Codicil of _________

I, _________[name of testator], _________[if known by other names, add: also known

as _________ and _________], _________[if married woman, add: formerly known as

_________ (maiden name)], a resident of _________[address], _________ County,

_________[state], declare that this is the _________[second or as the case may be]

codicil to my last will and testament, which is dated _________, _________[if one or

more previous codicils is to be republished, add: and the _________ (first, or as the case

may be) codicil thereto, dated _________].

I revoke Paragraph _________ of my last will and testament _________[if desirable

under the circumstances, add: which reads as follows: _________]. _________[If

provision revoked is to be modified, add: In place of this revoked provision I substitute

the following: _________].

II.

In Paragraph _________ of my last will and testament I stated: _________[insert the

exact language being referred to, such as: "I make the following gifts of money:"].

_________[Insert language describing desired change, such as: To the two gifts made in

the two subparagraphs thereafter, I add a third subparagraph making a third gift as

follows:

3. To _________, presently residing at _________(address), _________ County,

_________(state), the sum of _________ Dollars ($_____), if _________ (he or she)

survives me _________(if desired, add: for _________ days). If _________ (he or she)

does not so survive me, the gift shall lapse and become a part of the residue of my

estate.]

III.

I hereby confirm and republish my will dated _________, _________[if previous

codicil is to be republished, add: and my codicil to that will dated _________] in all

respects other than those above-mentioned.

I subscribe my name to this codicil on _________[date], at _________[address],

_________ County, _________[state], in the presence of _________, _________, and

_________, attesting witnesses, who subscribe their names to this codicil on

_________[date] at my request and in my presence.

[Signature]

ATTESTATION CLAUSE

On the date last above written, _________[testator's name], known to us to be the

person whose signature ap-pears at the end of this codicil, declared to us, the

undersigned, that the foregoing instrument, consisting of _________pages, including the

page on which we have signed as witnesses, was the _________[number, such as:

second] codicil to _________[his or her] will dated _________. _________[He or She]

then signed the codicil in our presence and, at _________[his or her] request, in

_________[his or her] presence and in the presence of each other, we now sign our

names as witnesses.

_________, residing at _________

[Signature] [Street, city, state]

_________,

residing at

_________

[Signature] [Street, city, state]

_________,

residing at

_________

[Signature]

[Street, city, state]