SAMPLE CODICIL (Will Modification)
[date]
I, [name], a resident of the County of
[county], State of [state], declare that this is the codicil to my last
will and testament, which is dated [date original
signed].
I add or change said last will in the following manner:
[list with particularity all changes to the will.
Reference each section number of the will and the specific language you will be
affecting. Be as clear and precise as possible]
Otherwise, I hereby confirm and republish my will dated, [date original signed], in all respects other than
those herein mentioned.
I subscribe my name to this codicil this [day, e.g.
1st] day of [month], [year], at [full address
where signed], in the presence of [full name
of first witness to codicil], [full name of
second witness to codicil], and [full name of
third witness to codicil], attesting witnesses, who subscribe their
names here in my presence.
___________________________________
Maker
ATTESTATION
On the date last above written, [name],
known by us to be the person whose signature appears at the end of this codicil,
declared to us, [full name of first witness to
codicil], [full name of second witness to
codicil] and [full name of third witness to
codicil], the undersigned, that the foregoing instrument, consisting,
of [number of pages to codicil] page(s) was
the codicil to the will dated, [date original
signed]; who then signed the codicil in our presence, and now in the
presence of each other, we now sign our names as witnesses.
_____________________________________
Witness
Address:
_____________________________
_____________________________
_____________________________
_____________________________________
Witness
Address:
_____________________________
_____________________________
_____________________________
_____________________________________
Witness
Address:
_____________________________
_____________________________
_____________________________
