Fill and Sign the District of Columbia Form 497301882

CODICIL TO LAST WILL AND TESTAMENT OF ________________________ I, ____________________ , of Washington, D.C., 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 Washington, D.C. 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. Washington DC Affidavit of Due Execution: District of Columbia Code § 20-324 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 Washington, D.C. 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:__________________________ Washington DC Affidavit of Due Execution: District of Columbia Code § 20-324 AFFIDAVIT OF DUE EXECUTION DISTRICT OF COLUMBIA On this _______ day of __________________ 20 ______ , _________________________________ personally appeared and, under oath answered the following questions as follows: 1. Were you one of the witnesses who signed the attached written document which is dated the _______ day of ________________ , 20 ____ and is said to be the last will and testament of _____________________________________ of the District of Columbia who is now dead? Yes No 2. Did ________________________________________ , the testator/testatrix, sign the attached document while in your presence? Yes No 3. Did _________________________________________ , the testator/testatrix, say the attached document was to be a part of his/her will? Yes No 4. At the time he/she signed the attached document, did ___________________________________________ , the testator, seem to you to be of sound mind and aware of what he/she was doing? Yes No 5. Did __________________________________________ , the testator/testatrix, ask you to sign the attached document as a witness? Yes No 6. When you signed the attached document as a witness, were ____________________________________________ , the testator/testatrix, and all of the other witnesses who signed the document present? Yes No 7. Were you present when each of the other witnesses signed the attached document? Yes No 8. Did ____________________________________________ , the testator/testatrix, ask the other people who signed the attached document to do so as witnesses? Yes No 9. Was __________________________________________ , the testator, present when each of the witnesses signed the attached document? Yes No 10. What is your date of birth? __________________ 11. Do you know of any will or codicil of ____________________________________________ , the testator/testatrix, other than the attached document? Yes No _________________________________ Signature Type or Print Name: _________________________ SWORN TO AND SUBSCRIBED before me on this the ______ day of _______________ , 20 ______ . __________________________________ NOTARY PUBLIC My Commission Expires: _________________ Washington DC Affidavit of Due Execution: District of Columbia Code § 20-324 AFFIDAVIT OF DUE EXECUTION DISTRICT OF COLUMBIA On this _______ day of __________________ 20 ______ , _________________________________ personally appeared and, under oath answered the following questions as follows: 1. Were you one of the witnesses who signed the attached written document which is dated the _______ day of ________________ , 20 ____ and is said to be the last will and testament of _____________________________________ of the District of Columbia who is now dead? Yes No 2. Did ________________________________________ , the testator/testatrix, sign the attached document while in your presence? Yes No 3. Did _________________________________________ , the testator/testatrix, say the attached document was to be a part of his/her will? Yes No 4. At the time he/she signed the attached document, did ___________________________________________ , the testator, seem to you to be of sound mind and aware of what he/she was doing? Yes No 5. Did __________________________________________ , the testator/testatrix, ask you to sign the attached document as a witness? Yes No 6. When you signed the attached document as a witness, were ____________________________________________ , the testator/testatrix, and all of the other witnesses who signed the document present? Yes No 7. Were you present when each of the other witnesses signed the attached document? Yes No 8. Did ____________________________________________ , the testator/testatrix, ask the other people who signed the attached document to do so as witnesses? Yes No 9. Was __________________________________________ , the testator, present when each of the witnesses signed the attached document? Yes No 10. What is your date of birth? __________________ 11. Do you know of any will or codicil of ____________________________________________ , the testator/testatrix, other than the attached document? Yes No _________________________________ Signature Type or Print Name: _________________________ SWORN TO AND SUBSCRIBED before me on this the ______ day of _______________ , 20 ______ . __________________________________ NOTARY PUBLIC My Commission Expires: _________________ Washington DC Affidavit of Due Execution: District of Columbia Code § 20-324