Fill and Sign the This to Be My Revocation of Will Form

Signed by Testator/Testatrix: __________________________________- 1 - REVOCATION OF LAST WILL AND TESTAMENT OF _______________________________________ BE IT KNOWN THIS DAY THAT,I, __________________________________, of ______________________ County, New Hampshire, 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 THREETestamentary 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/TestatrixThe above and foregoing revocation of Will of _________________________________ (name Signed by Testator/Testatrix: __________________________________- 2 -of testator/testatrix) was declared by _____________________________________ (name of 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 SignaturePrint Name: _____________________________ Print Name: _________________________________Address: _______________________________ Address: __________________________________________________________________________ ___________________________________________Telephone No. __________________________ Telephone No. _______________________________ Signed by Testator/Testatrix: __________________________________- 3 -State of New HampshireCounty of _______________ The foregoing instrument was acknowledged before me this ___________ (day) of ___________ by ______________________________ , the testator/testatrix; ________________ and ________________, the witnesses, who under oath do swear as follows: 1. The testator signed the instrument as the testator's will or expressly directed another to sign for the testator.2. This was the testator's free and voluntary act for the purposes expressed in the will.3. Each witness signed at the request of the testator, in the testator's presence, and in the presence of the other witness.4. To the best of my knowledge, at the time of the signing the testator was at least 18 years of age, or if under 18 years was a married person, and was of sane mind and under no constraint or undue influence. ______________ Signature ______________Official Capacity My Commission Expires: _____________________________