Codicil Will Form

I, [Your Name], residing at [Your Address], being of sound mind and body, declare this Codicil to my Last Will and Testament, dated [Month Day, Year]. This Codicil modifies my original will as stated below but does not revoke the original will unless explicitly stated.

I. Modifications to the Original Will

I hereby make the following changes, additions, or deletions to my Last Will and Testament:

Section/Clause to Be Modified:

II. Confirmation of the Original Will

I confirm that all provisions of my Last Will and Testament dated [Month Day, Year] remain in full force and effect, except as modified by this Codicil. I, the undersigned Testator, sign this Codicil willingly, in the presence of the undersigned witnesses, and declare it to be a supplement to my Last Will and Testament.

Testator:

Name:

Date:

Witness 1:

Name:

Date:

Witness 2:

Name:

Date:

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