Fill and Sign the Codicil Will Form 497301405

CODICIL TO LAST WILL AND TESTAMENT OF _____________________ I, ___________________ , of _____________ County, Connecticut, 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 referenced herein 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 Connecticut 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. 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 Connecticut 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 __ . _____________________________ TESTATOR/TESTATRIX The above and foregoing Codicil of ____________________ was declared and attested by ___________________ in our presence to be his/her Codicil and was signed by the said ____________________ in our presence and at his/her 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 __ . ___________________________________ WITNESS ADDRESS:__________________________ ___________________________________ WITNESS ADDRESS:__________________________ Connecticut Self Proving Affidavit State of Connecticut County of _____________ I, ___________________________ , the testator/testatrix, sign my name to this instrument this ______ day of _______________ , 20 ____ , and 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, that I execute it as my free and voluntary act for the purposes therein expressed, and that I am eighteen years of age or older, of sound mind, and under no constraint or undue influence. _____________________________ Testator/Testatrix Typed Name: _____________________________ We, ___________________________ and __________________________ , the witnesses, sign our names to this instrument, and at least one of us, being first duly sworn, does hereby declare, generally and to the undersigned authority, that the testator/testatrix signs and executes this instrument as his or her last will and that he or she signs it willingly, and that each of us, in the presence and hearing of the testator/testatrix, hereby 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 The foregoing instrument was acknowledged before me this the _______ day of ______________ , 20 ____ by _________________________ , Testator/Testatrix, ___________________________ , Witness and _________________________ , Witness, and was sworn to and subscribed before me on said date by said Testator/Testatrix and both witnesses. (SEAL) ______________________________ NOTARY PUBLIC Print Name: _______________________________ My Commission Expires: ______________________ Serial Number, if any: _______________