Sample Codicil Form printable pdf download

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:

_______________________________________________________________

Sample Codicil Form