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

CODICILTO LAST WILL AND TESTAMENT OF ___________________________________________ I, _____________________________ , of _____________________________ County, Ohio, 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 Ohio including the power to sell a ny of the real or personal property of the Trust for cash or on credit or to mortgage it or to le ase 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 Ohio or any other law including the power to sel l any of my real or personal property at public auction or private sale, for cash or on cre dit, 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:__________________________ STATE OF OHIO COUNTY OF _______________ PERSONALLY appeared before me, the undersigned authority in and for the county and state aforesaid, ______________________________ and ______________________________, who, being by me first duly sworn, makes oath to the following:1. The undersigned were subscribing witnesses to that certain instrument of writing dated ______________________________, which is the true and original Last Will and Testament of ______________________________, the “Maker”. 2. That the Maker signed, published and declared said instrument as his or her Last Will and Testament on the _______ day of __________________, 20 _____, the date of said instrument, in the presence of us as two (2) subscribing witnesses. 3. The Maker was then and there of sound and disposing mind, memory and understanding and was over eighteen (18) years of age. 4. The undersigned as competent adults, subscribed and attested said instrument as a witness to the signature, publication and declaration thereof by the Maker, at the special instance and request of the Maker, in his or her presence and i n the presence of each of us as witnesses. ____________________________________ Witness Print Name __________________________ ____________________________________ Witness Print Name __________________________ SWORN TO AND SUBSCRIBED before me, this the _____ day of __________, 20 _____ . ____________________________________ NOTARY PUBLIC MY COMMISSION EXPIRES: _______________