Sample Codicil Form

WHEREAS, on ______, I, ______, executed my last will and testament, and; WHEREAS, I made various instructions and bequests, and, WHEREAS, I desire to add an additional provision to the will; I NOW PUBLISH THIS CODICIL to my last will and testament of ______:

I reaffirm all parts and exhibits of said will, except that, I: ______

I direct that the executors of my estate enact these requests as if they were part of my last will and testament.

Dated: ______

______, TESTATOR

I herewith affix my signature to this codicil on this the ______day of ______, 20___ at ______, in the presence of the following witnesses, who witnessed and subscribed this codicil at my request, and in my presence.

ATTESTATION CLAUSE

On the date above written, ______, well known to us declared to us, and in our presence, that this instrument, consisting of _____ pages, is a codicil to their last will and testament, and ______, then signed this instrument in our presence, and at ______’s request we now sign this codicil as witnesses in each other’s presence. Further that ______appeared to us to be of sound mind and lawful age, and under no undue influence.

Witness:

______

Address: ______

Witness:

______

Address: ______

Witness:

______Address: ______

STATE OF ______COUNTY OF ______

Before me, the undersigned authority authorized to take acknowledgments and administer oaths, personally appeared:

______

______

______who after being having duly sworn or affirmed to tell the truth, stated:

1. That ______declared this instrument to be a codicil to their last will and testament to the witnesses.

2. That ______signed this instrument in their presence.

3. That the witnesses signed as witnesses in the presence of ______and each other.

4. That ______is well known to the witnesses, and the witnesses believe ______to be of lawful age, of sound mind and under no undue influence or constraint.

______Notary My Commission Expires: ______

Codicil Review List

This is provided to inform you about this type of document and assist you in its preparation. This is a standard codicil form in which you can enter the changes you wish made to your will. More sample codicil forms are available on-line for your review and education. Please always be advised and in collaboration with your lawyer or financial planner in your decisions such as adding a codicil. Make multiple copies. Be sure to get three witnesses and a notary to vouch for the signatures. Keep a copy with your last will and testament in all places you have that placed.