WHEREAS, on __________, I, ____________, executed my last will
and testament,  and; 

WHEREAS, I made various instructions and bequests, and,  

WHEREAS , in my will I made a division of my estate in per 
centages, and I desire to alter the same, 

I NOW PUBLISH THIS CODICIL to my last will and testament of
__________: 

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

substitute the following allocations for those in the will being 
superseded: 

_________________________________________________________

I direct that the executors of my estate deliver acquittances of 
the debt. 

Dated: _______________________




				_______________________________ 

				____________, TESTATOR 


I herewith affix my  signature to this codicil on  this 

the ____________ day of ________________________________, 19___ 

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. 


______________________________________________________________ 
Officer 

Title of Officer:__________________________________________ 

My Commission Expires: _________________________