CODICIL TO THE LAST WILL AND TESTAMENT OF
________
I, ________, (the "Testator") of ________, Alabama, declare this to be my codicil (my "Codicil") to my last will and testament being dated ________ (my "Last Will").
A. My Last Will is hereby amended to include the following additional provision:
________
B. My Last Will is hereby modified by deleting the following provision:
________
C. My Last Will is hereby modified to include the following change:
The following portion of my Last Will is revoked:
________
and is replaced with the following text:
________
D. I hereby confirm and republish my Last Will dated ________ in all respects other than those mentioned here.
IN WITNESS WHEREOF, I have signed my name on this ______ day of the month of ___________________ of the year ___________, in the City of ________________, the State of Alabama, declaring and publishing this instrument as my Codicil to Last Will, in the presence of the undersigned witnesses, who witnessed and subscribed this Codicil to Last Will at my request, and in my presence.
______________________________________
________, Testator
SIGNED AND DECLARED by ________ on this ______ day of the month of ___________________ of the year ___________ 22 82 25285 8258888 22 2582 2888, 82 255 25282282 82 252 8822 22 ___________________, 252 52522 22 ________, 852 52 25285 5285282, 82 25285 25282282 525 82 252 25282282 22 2585 22525, 588 82822 2528222 52 252 8522 2822, 5582 882225 255 25228 58 882228828.
___________________________
Witness #1 Signature
___________________________
Witness #1 Printed Name
___________________________
Witness #1 Street Address
___________________________
Witness #1 City, State
___________________________
Witness #2 Signature
___________________________
Witness #2 Printed Name
___________________________
Witness #2 Street Address
___________________________
Witness #2 City, State
AFFIDAVIT
I, ________, the undersigned Testator, do hereby declare that I sign (or direct another to sign for me) and execute this instrument as my Codicil to Last Will, that I sign it willingly (or willingly direct another to sign it for me) in the presences of each of said witnesses, and that I execute it as my free and voluntary act for the purposes herein expressed.
______________________________________
________, Testator
We, the undersigned witnesses, do hereby declare in the presence of the aforesaid Testator that the Testator signed (or directed another to sign for them and said person signed for them) and executed this instrument as their Codicil to Last Will in the presence of each of us, that they signed it willingly (or willingly directed another to sign it for her), that each of us hereby signs this Codicil to Last Will as witness in the presence of the Testator, and that to the best of our knowledge, the Testator is eighteen (18) years of age or over, of sound mine, and under no constraint or undo influence.
______________________________________
Witness #1 Signature
______________________________________
Witness #2 Signature
STATE OF Alabama
COUNTY OF _______________________
Subscribed, sworn to, and acknowledged before me by ________, the Testator, and
subscribed and sworn to before me by ___________________________,
___________________________, and ___________________________, witnesses, this
_________ day of _____________________, 20_____.
(seal)
(signed)___________________________
___________________________
(Official capacity of officer)
CODICIL TO THE LAST WILL AND TESTAMENT OF
________
I, ________, (the "Testator") of ________, Alabama, declare this to be my codicil (my "Codicil") to my last will and testament being dated ________ (my "Last Will").
A. My Last Will is hereby amended to include the following additional provision:
________
B. My Last Will is hereby modified by deleting the following provision:
________
C. My Last Will is hereby modified to include the following change:
The following portion of my Last Will is revoked:
________
and is replaced with the following text:
________
D. I hereby confirm and republish my Last Will dated ________ in all respects other than those mentioned here.
IN WITNESS WHEREOF, I have signed my name on this ______ day of the month of ___________________ of the year ___________, in the City of ________________, the State of Alabama, declaring and publishing this instrument as my Codicil to Last Will, in the presence of the undersigned witnesses, who witnessed and subscribed this Codicil to Last Will at my request, and in my presence.
______________________________________
________, Testator
SIGNED AND DECLARED by ________ on this ______ day of the month of ___________________ of the year ___________ 22 82 25285 8258888 22 2582 2888, 82 255 25282282 82 252 8822 22 ___________________, 252 52522 22 ________, 852 52 25285 5285282, 82 25285 25282282 525 82 252 25282282 22 2585 22525, 588 82822 2528222 52 252 8522 2822, 5582 882225 255 25228 58 882228828.
___________________________
Witness #1 Signature
___________________________
Witness #1 Printed Name
___________________________
Witness #1 Street Address
___________________________
Witness #1 City, State
___________________________
Witness #2 Signature
___________________________
Witness #2 Printed Name
___________________________
Witness #2 Street Address
___________________________
Witness #2 City, State
AFFIDAVIT
I, ________, the undersigned Testator, do hereby declare that I sign (or direct another to sign for me) and execute this instrument as my Codicil to Last Will, that I sign it willingly (or willingly direct another to sign it for me) in the presences of each of said witnesses, and that I execute it as my free and voluntary act for the purposes herein expressed.
______________________________________
________, Testator
We, the undersigned witnesses, do hereby declare in the presence of the aforesaid Testator that the Testator signed (or directed another to sign for them and said person signed for them) and executed this instrument as their Codicil to Last Will in the presence of each of us, that they signed it willingly (or willingly directed another to sign it for her), that each of us hereby signs this Codicil to Last Will as witness in the presence of the Testator, and that to the best of our knowledge, the Testator is eighteen (18) years of age or over, of sound mine, and under no constraint or undo influence.
______________________________________
Witness #1 Signature
______________________________________
Witness #2 Signature
STATE OF Alabama
COUNTY OF _______________________
Subscribed, sworn to, and acknowledged before me by ________, the Testator, and
subscribed and sworn to before me by ___________________________,
___________________________, and ___________________________, witnesses, this
_________ day of _____________________, 20_____.
(seal)
(signed)___________________________
___________________________
(Official capacity of officer)
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