CODICIL
TO
LAST WILL AND TESTAMENT OF
_____________________
I, _____________________ , of _____________________ County, New York, 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 the State of New York 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.
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 New York 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 ___________________________
___________________________________
SS# ___________________________
___________________________________
WITNESS
ADDRESS ___________________________
___________________________________
SS# ___________________________
ATTESTING WITNESSES SHOULD READ CAREFULLY BEFORE SIGNING THIS
AFFIDAVIT -- NOTARY SHOULD NOT BE A PARTY OR WITNESS
STATE OF NEW YORK
COUNTY OF ___________________________
Each of the undersigned, individually and severally being duly sworn, deposes and says:
The within Codicil to Will was subscribed in our presence and sight at the end thereof by
___________________________ , the within-named Testator/Testatrix, on the _____ day of
___________________________ , 20 _____ , at
________________________________________ [address].
Said Testator/Testatrix at the time of making such subscription declared the instrument
so subscribed to be his/her Codicil to Last Will and Testament.
Each of the undersigned thereupon signed his or her name as a witness at the end of said
Codicil to Will at the request of said Testator/Testatrix and in his/her presence and sight and in
the presence and sight of each other.
Said Testator/Testatrix was, at the time of so executing said Codicil to Will, over the age
of 18 years and, in the respective opinions of the undersigned, of sound mind, memory and
understanding and not under any restraint or in any respect incompetent to make a codicil.
The Testator/Testatrix, in the respective opinions of the undersigned, could read, write
and converse in the English language and was suffering from no defect of sight, hearing or
speech or from any other physical or mental impairment which would affect his/her capacity to
make a valid will. The Codicil Will was executed as a single, original instrument and was not
executed in counterparts. Each of the undersigned was acquainted with said Testator/Testatrix at
said time and makes this affidavit at his/her request. The within Codicil to Will was shown to the
undersigned at the time affidavit was made, and was examined by each of them as to the
signature of said Testator/Testatrix and of the undersigned.
_____________________________
Witness
_____________________________
Witness
Severally sworn to before me on this _____ day of _____________________, 20 _____ .
_____________________________
NOTARY PUBLIC
My Commission Expires:
_____________________________