Fill and Sign the Codicil Form 497311142

CODICIL TO LAST WILL AND TESTAMENT OF ___________________________________________ I, _____________________________ , of _____________________________ County, Maine, declare this as a Codicil to my Will dated _____________ . This Codicil amends or supplements my Will only as provided herein. Except as amended or supplemented, my Will shall remain in full force and effect. [All Articles are examples only. Only type changes to be made to will or additions thereto] ARTICLE I. I devise and bequeath to _____________ my _____________ . ARTICLE II. I revoke the prior devise and bequest of _____________ to _____________ , my _____________ . ARTICLE III I have another child named, _____________ , and amend Article _____________ to add said child as an additional beneficiary of the trust specified therein. ARTICLE V. I amend my will to appoint _____________ , or if the appointee fails to qualify or cease to act, I appoint _____________ , as Trustee of the Trust provisions of this Will to serve in said capacity with all the powers during the administration of the Trust as are granted to Trustees under the laws of the State of Maine including the power to sell any of the real or personal property of the Trust for cash or on credit or to mortgage it or to lease it, all to be exercised without Court order. ARTICLE VI. In the event that my _____________ , _____________ , dies without having made just provision for the care and custody of our minor children, I appoint _____________ , as Guardian(s) of said minor children. Page One Signed by Maker/Testator: ________________ ARTICLE VII. I amend my will to appoint _____________ , as executor/executrix/personal representative of my Will, or if the appointee fails to qualify or ceases to act, I appoint _____________ both to serve without bond, inventory, appraisal or accounting to any Court and to have all the powers during the administration of my estate as are granted to Trustees under the laws of the State of Maine or any other law including the power to sell any of my real or personal property at public auction or private sale, for cash or on credit, or to mortgage it or to lease it, all to be exercised without Court order. I, _____________ , having signed this Codicil in the presence of _______________________ and ____________________ who attested it at my request on this the _____________ day of _____________ , 20 _____________ . _____________________________ MAKER/TESTATOR The above and foregoing Codicil of _____________ was declared and attested by _____________ in our presence to be _____________ Codicil and was signed by the said _____________ in our presence and at _____________ request and in the presence of _____________ and in the presence of each other, we, the undersigned, witnessed and attested the due execution of the Codicil of _____________ on this the _____________ day of _____________ , 20 _____________ , and Further, that to the best of our knowledge the testator is 18 years of age or older, of sound mind, and under no constraint or undue influence and that we, as witnesses, are not interested or an heir of the estate of _____________ . ___________________________________ WITNESS ADDRESS:__________________________ ___________________________________ WITNESS ADDRESS:__________________________ Maine Self Proving Affidavit State of Maine County of _____________________ I, ______________________________ , the testator/testatrix, on this _____ day of _______________ , 20 _____ , being first duly sworn, do hereby declare to the undersigned authority that I sign and execute this instrument as my last will and that I sign it willingly, as my free and voluntary act and that I am eighteen years of age or older, of sound mind, and under no constraint or undue influence. ______________________________ Testator/Testatrix We, ______________________________ and ______________________________ , the witnesses, being first duly sworn, do hereby declare to the undersigned authority that the testator/testatrix has signed and executed this instrument as his or her last will and that he or she signed it willingly, and that each of us, in the presence and hearing of the testator/testatrix, signs this will as witness to the testator's/testatrix's signing, and that to the best of our knowledge the testator/testatrix is eighteen years of age or older, of sound mind and under no constraint or undue influence. ______________________________ Witness ______________________________ Witness State of Maine County of _______________ Subscribed, sworn to and acknowledged before me by _________________________ , the testator/testatrix and subscribed and sworn to before me by _________________________ , and _________________________ , witnesses, this _____ day of _______________ , 20 _____ . (Seal) ______________________________ NOTARY PUBLIC My Commission Expires: _____________________