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- #100
- @001 Enter the name of the TESTATOR:
- ~Enter the name of the person making the codicil (testator.)
- @002 Enter the date when will was made:
- ~Enter the date when the will being revised was executed.
- @003 Enter date of codicil:
- ~Enter the date when this instrument will be signed.
- @101 Enter description of debts forgiven:
- ~Enter the name of the person who is having debts forgiven and a
- ~description of the debts forgiven.
- #end control section
- #100
-
- CODICIL
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- WHEREAS, on @002, I, @001, executed my last will and testament,
- and;
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- WHEREAS, I made various instructions and bequests, and,
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- WHEREAS , I desire to add an additional provision to the will;
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- I NOW PUBLISH THIS CODICIL to my last will and testament of @002:
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- I reaffirm all parts and exhibits of said will, except that, I:
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- Forgive the following debts:
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- @101
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- I direct that the executors of my estate deliver acquittances of
- the debt.
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- Dated: @003
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- ________________________________
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- @001, TESTATOR
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- I herewith affix my signature to this codicil on this
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- the ____________ day of ________________________________, 19___
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- at ________________________________________, in the presence of
- the following witnesses, who witnessed and subscribed this
- codicil at my request, and in my presence.
-
-
-
- ATTESTATION CLAUSE
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- On the date above written, @001, well known to us declared
- to us, and in our presence, that this instrument,
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- consisting of _____ pages, is a codicil to their last will and
- testament, and @001, then signed this instrument in our presence,
- and at @001's request we now sign this codicil as witnesses in
- each other's presence. Further that @001, appeared to us to be of
- sound mind and lawful age, and under no undue influence.
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- Witness:
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- _______________________________________________________________
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- Address: ______________________________________________________
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- Witness:
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- _______________________________________________________________
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- Address: ______________________________________________________
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- Witness:
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- _______________________________________________________________
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- Address: ______________________________________________________
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- STATE OF _________________)
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- COUNTY OF ________________)
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- Before me, the undersigned authority authorized to
- take acknowledgments and administer oaths, personally appeared:
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- @001
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- _______________________________________________________________
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- _______________________________________________________________
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- _______________________________________________________________
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- who after being having duly sworn or affirmed to tell the truth,
- stated:
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- 1. That @001 declared this instrument to be a codicil to
- their last will and testament to the witnesses.
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- 2. That @001 signed this instrument in their presence.
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- 3. That the witnesses signed as witnesses in the
- presence of @001 and each other.
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- 4. That @001 is well known to the witnesses, and the
- witnesses believe @001 to be of lawful age, of sound mind and
- under no undue influence or constraint.
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-
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- ______________________________________________________________
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- Officer
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- Title of Officer:__________________________________________
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- My Commission Expires: _________________________
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