Fill and Sign the Virginia Codicil Form

CODICIL TO LAST WILL AND TESTAMENT OF ___________________________________________ I, _____________________________ , of _____________________________ County, Virginia, 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 Virginia 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 Virginia 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 _____________ 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:__________________________ Virginia Self Proving Affidavit COMMONWEALTH OF VIRGINIA COUNTY/CITY OF _________________ Before me, the undersigned authority, on this day personally appeared ______________________________ , ______________________________ , and ______________________________ , known to me to be the testator/testatrix and the witnesses, respectively, whose names are signed to the attached or foregoing instrument and, all of these persons being by me first duly sworn, ______________________________ , the testator/testatrix, declared to me and to the witnesses in my presence that said instrument is his/her last will and testament and that he/she had willingly signed same, and executed it in the presence of said witnesses as his free and voluntary act for the purposes therein expressed; that said witnesses stated before me that the foregoing will was executed and acknowledged by the testator/testatrix as his/her last will and testament in the presence of said witnesses, who, in his or her presence and at his or her request, and in the presence of each other, did subscribe their names thereto as attesting witnesses on the day of the date of said will, and that the testator/testatrix, at the time of the execution of said will, was over the age of eighteen years and of sound and disposing mind and memory. ______________________________ Testator/Testatrix ____________________________ Typed Name of Testator/Testatrix ______________________________ Witness ______________________________ Witness COMMONWEALTH OF VIRGINIA COUNTY OF _________________ Subscribed, sworn to, and acknowledged before me by ___________________________ , the Testator/Testatrix, and subscribed and sworn to before me by _______________________ and ______________________ , witnesses, this _____ day of __________ , 20 _____ . ______________________________ Official capacity of officer Print Name and Address of Witnesses: __________________________________ __________________________________ ADDRESS: ________________________ ADDRESS: ________________________ __________________________________ __________________________________ __________________________________ __________________________________