Fill and Sign the County Kansas Declare This as a Codicil to My Will Dated Form

CODICIL TO LAST WILL AND TESTAMENT OF ___________________________________________ I, _____________________________ , of _____________________________ County, Kansas, declare this as a Codicil to my Will dated _____________. This Codicil amends or supplements my Will only as provided herein. Except as am ended or supplemented, my Will shall remain in full force and effect. [All Articles are examples only. Only type changes to be made to w ill 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 Kansas including the power to sell any of the real or personal property of the Trust for cash or on credit or to mort gage 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 cea ses 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 Kansas or any other law i ncluding the power to sell any of my real or personal property at public auction or private sa le, 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 c onstraint or undue influence and that we, as witnesses, are not interested or an heir of the estate of _____________. ___________________________________ WITNESS ADDRESS:__________________________ ___________________________________ WITNESS ADDRESS:__________________________ I, __________________________________________, having signed this Codicil to Will in the presence of ________________________________________________ and ____________________________________________who attested it at my request on this the _____ day of _____________, 20__. ______________________________ Testator/Testatrix The above and foregoing Codicil to Will of ___________________________________ was declared by _____________________________ in our presence to be his or her codicil to will and was signed by the said testator/testatrix in our presence and at his or her request and in the presence of him or her and in the presence of each other, we, the undersigned, witnessed and attested the due execution of the codicil to will of ____________________________________ on this the _____ day of ______________, 2000. Further, that to the best of our knowledge the testator/testatrix is 18 years of age or older, of sound mind, and under no constraint or undue influence. ______________________________ WITNESS ADDRESS:____________________ ______________________________ WITNESS ADDRESS:____________________ Kansas Self-Proving Affidavit State of Kansas County of _____________ Before me, the undersigned authority, on this day personally appeared _________________________, _________________________, and _________________________, known to me to be the testator/testatrix and th e witnesses, respectively, whose names are subscribed to the annexed or foregoing instrument in their respective capacities, and, all of said persons being by me first dul y sworn, said _________________________, Testator/Testatrix, declared to me and to the said witnesses in my presence that said instrumen t is the testator's/testatrix’s last will and testament, and that the Testator/Testatrix had willingly made and executed i t as the testator's/testatrix’s free and voluntary act and deed for the purposes therein expressed; and the said witnesses, each on the witness' oath stated to me, in the presence and hear ing of the said Testator/Testatrix, that the said Testator/Testatrix had decla red to them that said instrument is the testator’s/testatrix’s last will and testament, and tha t the testator/testatrix executed same as such and wanted each witness to sig n it as a witness; and upon their oaths each witness stated further that they did sign the same as witne sses in the presence of each other and in the presence of the testator/testatrix and at the testator’s/testatrix’s request, and that said testator/testatrix at that time possessed the rights of majority, was of sound mind and under no restraint. (Testator/Testatrix) ____________________ Typed Name: ___________________ (Witness) _____________________ (Witness) _____________________ Subscribed, acknowledged and sworn to before me by __________________________, testator/testatrix, and ______________________ and ___________________, witnesses, this ________ day of ______________, 20_____ A.D. (Seal) (Signed) ____________________________ ________________________ Official capacity of officer