Fill and Sign the Written Revocation of Will Indiana Form

REVOCATION OF LAST WILL AND TESTAMENT OF _______________________________________ BE IT KNOWN THIS DAY THAT, I, __________________________________, of ______________________ County, Indiana, 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 - UNDER PENALTIES FOR PERJURY, we, the undersigned testator/testatrix and the undersigned witnesses, respectively, whose names are signed to the attached or foregoing instrument declare: (1) that the testator/testatrix executed the instrument as the testator's/testatrix’s revocation of will; (2) that, in the presence of both witnesses, the testator/testatrix signed or acknowledged the signature already made; (3) that the testator/testatrix executed the revocation of will as a free and voluntary act for the purposes expressed in it; (4) that each of the witnesses, in the presence of the testator/testatrix and of each other, signed the revocation of will as a witness; (5) that the testator/testatrix was of sound mind when the revocation of will was executed; and (6) that to the best knowledge of each of the witnesses the testator/testatrix was, at the time the revocation of will was executed, eighteen (18) or more years of age or was a member of the armed forces or of the merchant marine of the United States or its allies. _________________________________ Testator _________________________________ Date __________________________________ Witness __________________________________ Witness State of Indiana County of __________________ Before me, ______________________________ , personally appeared ______________________________ , testator, and ______________________________ and ______________________________ , of ________________________ , who acknowledged execution of the foregoing __________________ and who, having been duly sworn, stated that the representations therein contained are true. ___________________________________ Notary Public, State of Indiana, County of _________________ Printed Name:________________________ My Commission Expires: _________________ Indiana Self Proving Affidavit - 1 -