First Codicil to Last Will and Testament
I, __________, of __________ County, State of __________, declare this to be the First Codicil to my Last Will and Testament dated __________.
Changes
__________
Confirmation
In all other respects, I confirm and republish my Will.
Witness Attestation
We, the undersigned witnesses, each being at least eighteen (18) years of age, declare that __________ signed this document in our presence, appeared to be of sound mind and under no duress, and that we signed as witnesses in the presence of __________ and of each other. Neither of us is a beneficiary under this document.
Witness 1 Name and Address: ____________________________________________
Witness 2 Name and Address: ____________________________________________
Testator: __________
Date: ____________
Witness 1: __________
Date: ____________
Witness 2: __________
Date: ____________
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