Codicil To My Last Will And Testament printable pdf download

SAMPLE DOCUMENT

CODICIL TO

LAST WILL AND TESTAMENT

_________________________

(insert name above)

I, ____________, residing and domiciled in the City of _______________,

County of ______________, and State of _______________, hereby make, publish and

declare this to a CODICIL TO MY LAST WILL AND TESTAMENT dated ___________ (enter

date of Will).

I give ____ percent (%) of the rest, residue, and remainder of my estate to United Way of Dane

County Foundation, Inc. of PO Box 7548, Madison, Wisconsin 53707, as an unrestricted gift.

In all other respects my Last Will and Testament shall remain as written and published.

I, [Name], the testator, sign my name to this instrument this ___ day of _________, 20___, and

being first duly sworn, declare to the undersigned authority all of the following:

I execute this instrument as the [First] Codicil to my will.

I sign this [First] Codicil willingly.

I execute this [First] Codicil as my free and voluntary act for the purposes

expressed therein.

I am 18 years of age or older, of sound mind and disposing memory, and

under no constraint or undue influence.

____________________________________

[Signed]

We, [the names of 3 independent witnesses], the witnesses, being first duly sworn, sign

our names to this instrument and declare to the undersigned authority all of the following:

The testator executes this [First] Codicil on the above

date in our presence and declares this to be the testator’s [First] Codicil.

The testator signs this [First] Codicil willingly.

Each of us, in the conscious presence of the testator

and of each other, signs this [First] Codicil as a witness.

To the best of our knowledge, the testator is 18 years of age or older, of

sound mind and disposing memory, and under no constraint or undue influence.

__________________________________________

SIGNED at _________________________, this ______ day of _________, 20____.

STATE OF WISCONSIN

COUNTY OF DANE

Codicil To My Last Will And Testament