<p> CODICIL TO WILL</p><p>______(Testator’s Name)</p><p>I, ______, of Kent County, Michigan, declare this to be a Codicil to my Will which (Testator’s Name) was executed on ______. (Date)</p><p>1. I herby amend Section ______of my Will as follows: (Number of section)</p><p>I herby bequeath ______dollars $______to the Rotary Club of Grand Rapids Charities Foundation, a Michigan non-profit corporation, to be distributed to the Foundation Endowment Fund.</p><p>2. Except as amended by this Codicil, I ratify, confirm and republish my Will.</p><p>I, ______, the testator, declare under penalty for perjury under the law of (Testator’s Name) the State of Michigan that I sign my name to this document on ______. (Date) That this document is my codicil to will: that I sign it willingly: that I sign it as a voluntary act for the purposes expressed in this codicil; and that I am 18 years of age or older, of sound mind, and under no constraint or undue influence.</p><p>Signature:______(Testator’s Name)</p><p>We, ______and ______, the witnesses, declare (Witness Name) (Witness Name) under penalty for perjury under the law of the State of Michigan that we sign our names to this document on ______that the testator signed this document as a codicil to testators will, (Date) signed it willingly, and signed it as testators voluntary act for the purpose expressed in this codicil; that each of us, in the testarors presence, signs this codicil as witness to the testator’s signing; and that, to the best of our knowledge, the testator is 18 years of age or older, of sound mind, and under no constraint or undue influence.</p><p>______of ______, Michigan</p><p>______of ______, Michigan</p><p>Drafting Note: If the client has more than one codicil, the second and successive may be modified in this form to designate its number (e.g. Third Codicil). The first may simply be called “Codicil”.</p>