Fill and Sign the Written Revocation of Will Georgia Form

REVOCATION OF LAST WILL AND TESTAMENT OF _______________________________________ BE IT KNOWN THIS DAY THAT, I, __________________________________, of ______________________ County, Georgia, 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 GEORGIA COUNTY 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 subscribed to the annexed or foregoing instrument in their respective capacities, and all of said individuals being by me duly sworn, _______________________, testator/testatrix, declared to me and to the witnesses in my presence that said instrument is the revocation of last will of the testator/testatrix and that the testator/testatrix had willingly made and executed it as a free act and deed for the purposes expressed therein. The witnesses, each on oath, stated to me in the presence and hearing of the testator/testatrix that the testator/testatrix had declared to them that the instrument is the testator’s/testatrix’s revocation of last will and testament and that the testator/testatrix executed the instrument as such and wished each of them to sign it as a witness; and under oath each witness stated further that the witness had signed the same as witness in the presence of the testator/testatrix and at the testator’s/testatrix’s request; that the testator/testatrix was 14 years of age or over and of sound mind; and that each of the witnesses was then at least 14 years of age. ________________________________ Testator/Testatrix ________________________________ WITNESS _______________________________ WITNESS Sworn to and subscribed before me by _______________________, testator/testatrix, and sworn to and subscribed before me by _______________________ and _______________________, witnesses, this ____ day of ______________, ____. ________________________________ NOTARY PUBLIC My Commission Expires: _____________________________ Signed by Testator/Testatrix: __________________________________ - 3 -