Fill and Sign the Ohio Revocation 497322704 Form

REVOCATION OF LAST WILL AND TESTAMENT OF _______________________________________ BE IT KNOWN THIS DAY THAT, I, __________________________________, of ______________________ County, Ohio, being of legal age and of sound and disposing mind and memory, and not acting under duress, menace, fraud, or undue influence of any person, do make, declare and publish this to be my Revocation of Will. ARTICLE ONE Revocation of all Prior Wills I hereby revoke any and all wills and codicils made by me prior to the date of this written revocation, including, but not limited to the following: 1. Will dated _________________. ARTICLE TWO New Will I may make a new will and this revocation is not intended to revoke any will I may make in the future, including any will I may make on the date of this revocation. In other words, if I elect to make a new will on the date of this revocation, my new will is not revoked by this instrument and shall remain in full force. ARTICLE THREE Testamentary Intent It is further my intent by execution of this revocation that no prior will of mine shall be probated, in whole or in part, nor shall any provisions thereof be revived by any subsequent will's express or implied revocation. Nor shall any court ruling as to the validity of any will I may make in the future act to revive any revoked will of mine. I, ________________________________, having signed this Revocation of Will in the presence of _____________________________ and ________________________________ who attested it at my request on this the _____ day of _____________, 20_____ at ____________________________________________________________(address), declare this to be my revocation of Last Will and Testament. ________________________________ Testator/Testatrix The above and foregoing revocation of Will of _________________________________ (name of testator/testatrix) was declared by _____________________________________ (name of Signed by Testator/Testatrix: __________________________________ - 1 - testator/testatrix) in our view and presence to be his/her revocation of Will and was signed and subscribed by the said ______________________________________ (name of testator/testatrix) in our view and presence and at his/her request and in the view and presence of _____________________________ (name of testator/testatrix) and in the view and presence of each other, we, the undersigned, witnessed and attested the due execution of the revocation of Will of ___________________________________ (name of testator/testatrix)on this the _____day of ___________________, 20__. _____________________________________ __________________________________________ Witness Signature Witness Signature Print Name: _____________________________ Print Name: _________________________________ Address: _______________________________ Address: ____________________________________ ______________________________________ ___________________________________________ Telephone No. __________________________ Telephone No. _______________________________ Signed by Testator/Testatrix: __________________________________ - 2 - STATE OF NORTH DAKOTA Ohio Self Proving Affidavit I, the undersigned testator/testatrix, do hereby declare that I sign and execute and subscribe this instrument as my revocation of last will, that I sign it willingly in the presence of each of said witnesses, and that I execute it as my free and voluntary act for the purposes herein expressed. __________________________________ Testator/Testatrix We, the undersigned witnesses, each do hereby declare in the presence of the aforesaid testator/testatrix that the testator/testatrix signed and executed and subscribed this instrument as his/her revocation of last will in the presence of each of us, that he/she signed it willingly, that each of us hereby signs and subscribe this revocation of will as witness in the presence of the testator/testatrix, and that to the best of our knowledge the testator/testatrix is eighteen (18) years of age or over, of sound mind, and under no constraint or undue influence. _________________________________ Witness _________________________________ Witness STATE OF OHIO COUNTY OF _____________ Subscribed, sworn to and acknowledged before me by the said testator/testatrix and witnesses this ____________ day of ____________ , _________ A.D. ______________________________ NOTARY PUBLIC SEAL My Commission Expires: ______________________ Signed by Testator/Testatrix: __________________________________ - 3 -