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REVOCATION OF
LAST WILL AND TESTAMENT OF
_______________________________________
BE IT KNOWN THIS DAY THAT,
I, __________________________________, of ______________________ County, Kansas,
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 -
Kansas Self-Proving Affidavit
State of Kansas
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 persons being by me first duly sworn, said
_______________________________, Testator/Testatrix, declared to me and to the said
witnesses in my presence that said instrument is the testator's/testatrix’s revocation of last will
and testament, and that the Testator/Testatrix had willingly made and executed it as the
testator's/testatrix’s free and voluntary act and deed for the purposes therein expressed; and
the said witnesses, each on the witness' oath stated to me, in the presence and hearing of the
said Testator/Testatrix, that the said Testator/Testatrix had declared to them that said
instrument is the testator’s/testatrix’s revocation of last will and testament, and that the
testator/testatrix executed same as such and wanted each witness to sign it as a witness; and
upon their oaths each witness stated further that they did sign the same as witnesses in the
presence of each other and in the presence of the testator/testatrix and at the
testator’s/testatrix’s request, and that said testator/testatrix at that time possessed the rights of
majority, was of sound mind and under no restraint.
_________________________(Testator/Testatrix)
_________________________(Witness)
_________________________(Witness)
Subscribed, acknowledged and sworn to before me by __________, testator/testatrix, and
__________ and __________, witnesses, this _____ day of __________, A.D. __________.
(Seal) (Signed) _______________________________
______________________________________
Official capacity of officer
Signed by Testator/Testatrix: __________________________________ - 3 -
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