~Enter the the name of the person who made the will now being
~amended (testator.)
@002 Enter the date when will was made:
~Enter the date when the will being amended was amended.
@003 Enter date of codicil:
~Enter the date that this codicil will be signed.
@101 Enter name of the beneficiary:
~Enter the name of the beneficiary who is having a gift or gifts
~revoked.
@012 Enter the bequest being revoked:
~Enter a specific description of the gift being revoked.
#end control section
#100
CODICIL
WHEREAS, on @002, I, @001, executed my last will and testament,
and;
WHEREAS, I made various instructions and bequests, and,
WHEREAS , I desire to revoke a bequest
I NOW PUBLISH THIS CODICIL to my last will and testament of @002:
I reaffirm all parts and exhibits of said will, except that, I:
revoke and rescind that certain bequest to @101 of @012, and that
this bequest shall pass with the residue of the estate.
Dated: @003
________________________________
@001, 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, @001, 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 @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.