CODICIL
TO
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 are
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 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 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:
____________________________
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