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

CODICILTO LAST WILL AND TESTAMENT OF ___________________________________________ I, _____________________________ , of _____________________________ County, Missouri, 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 a re granted to Trustees under the laws of the State of Missouri 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 ac t, 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 Missouri 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:__________________________ Missouri Self Proving Affidavit THE STATE OF MISSOURI COUNTY OF _______________ I, the undersigned, an officer authorized to administer oaths, certify that __________________________________, the Testator/Testatrix of the Will, and the witnesses, whose names are signed to the attached or foregoing instrument, having appeared together before me and having been first duly sworn, each then declared to me that the Testator/Testatrix of the Will signed and executed the instrument as her or his last will, and that she or he had willingly signed, and that she or he executed it as her or his free and voluntary act for the purposes therein expressed; and that each of the witnesses, in the presence and hearing of the Testator/Testatrix of the Will, signed the will as witness and that to the best of her or his knowledge the Testator/Testatrix of the Will was at that time eighteen or more years of age, of sound mind, and under no constraint or undue influence. In witness whereof I have hereunto subscribed my name and affixed my official seal this ______ day of ____________, 20______. _______________________ (Seal) NOTARY PUBLIC My Commission Expires:____________________________