Codicil Will Form

Codicil to Last Will and Testament

CODICIL TO LAST WILL AND TESTAMENT OF

I, , of County, Indiana, 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 Indiana 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 Indiana 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.

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 .

UNDER PENALTIES FOR PERJURY, we, the undersigned testator/testatrix and the undersigned witnesses, respectively, whose names are signed to the attached or foregoing instrument declare:

(1) that the testator/testatrix executed the instrument as the testator's/testatrix’s will;

(2) that, in the presence of both witnesses, the testator/testatrix signed or acknowledged the signature already made;

(3) that the testator/testatrix executed the will as a free and voluntary act for the purposes expressed in it;

(4) that each of the witnesses, in the presence of the testator/testatrix and of each other, signed the will as a witness;

(5) that the testator/testatrix was of sound mind when the will was executed; and

(6) that to the best knowledge of each of the witnesses the testator/testatrix was, at the time the will was executed, eighteen (18) or more years of age or was a member of the armed forces or of the merchant marine of the United States or its allies.

State of Indiana

County of

Before me, , personally appeared , testator, and and , of , who acknowledged execution of the foregoing and who, having been duly sworn, stated that the representations therein contained are true.