Fill and Sign the Kentucky Changes Form

CODICIL TO LAST WILL AND TESTAMENT OF ___________________________________________ I, _____________________________, of _____________________________ County, Kentucky, 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 are granted to Trustees under the laws of the State of Kentucky 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 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 Kentucky 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:__________________________ Kentucky Self Proving Affidavit 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 (18) 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, being first duly sworn, and do hereby declare 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 and in the presence of the other subscribing witness, hereby signs this will as witness to the testator/testatrix's signing, and that to the best of our knowledge the testator/testatrix is eighteen (18) years of age or older, of sound mind, and under no constraint or undue influence. ___________________________________ WITNESS ___________________________________ WITNESS STATE OF KENTUCKY COUNTY OF _________________ Subscribed, sworn to and acknowledged before me by _________________________, the testator/testatrix and subscribed and sworn to before me by _________________________, and _________________________, witnesses, this _______ day of _____________, 20__. _____________________________ NOTARY PUBLIC Print name of Notary: ____________________________ My Commission Expires:_______________________