Fill and Sign the Revocation of Will Form

Revocation of Wills I,       , of       , (Name of Testator) (Street Address, City, County, State, Zip Code) hereby revoke all wills which I have made. IN WITNESS WHEREOF, I have hereunto subscribed my name this the       day of       , 20       . By: (Signature of Testator)       (Printed Name of Testator) This instrument was, on the day and year shown above, signed, published and declared by       to be his Revocation of Wills in our presence, and we, at (Name of Testator) his request, have subscribed our names hereto as witnesses in his presence and in the presence of each other. _____________________________ WITNESS _____________________________ WITNESS STATE OF       COUNTY OF       AFFIDAVIT OF SUBSCRIBING WITNESSES This day personally came and appeared before me, the undersigned authority at law in and for said jurisdiction,       and       (Name of Witness) (Name of Witness) the two subscribing witnesses to that certain instrument of writing purporting to be the Revocation of Wills of       , a citizen of       , (Name of Testator) (City and State) each of whom, having been first duly sworn, makes oath that the said       , signed, published and declared the original of said (Name of Testator) Revocation of Wills Page 1 of 2 instru ment as his Revocation of Wills on the       , the day and date of said (Date) instrument, in the presence of said two affiants, both of whom were the subscribing witnesses to said instrument; that said Testator was then of sound and disposing mind and memory and above the age of twenty-one (21) years; and each of the said two subscribing witnesses subscribed and attested said instrument as witnesses to the signature and publication thereof, at the special instance and request, and in the presence of the said Testator, and in the presence of each other. _________________________________ (Signature of Witness) Address:             _________________________________ (Signature of Witness) Address:             SWORN to and subscribed before me, this the       day of       , 20       . ______________________________________ NOTARY PUBLIC My Commission Expires: ____________________ Revocation of Wills Page 2 of 2