Fill and Sign the Written Revocation of Will New York Form

REVOCATION OF LAST WILL AND TESTAMENT OF _______________________________________ BE IT KNOWN THIS DAY THAT, I, __________________________________, of ______________________ County, New York, 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 - Signed by Testator/Testatrix: __________________________________ - 3 - ATTESTING WITNESSES SHOULD READ CAREFULLY BEFORE SIGNING THIS AFFIDAVIT -- NOTARY SHOULD NOT BE A PARTY OR WITNESS STATE OF NEW YORK COUNTY OF ____________ Each of the undersigned, individually and severally being duly sworn, deposes and says: The within Will was subscribed in our presence and sight at the end thereof by ____________________, the within-named Testator/Testatrix, on the ___ day of ____________________, 20__, at ________________________________________[address]. Said Testator/Testatrix at the time of making such subscription declared the instrument so subscribed to be his/her revocation of Last Will and Testament. Each of the undersigned thereupon signed his or her name as a witness at the end of said revocation of Will at the request of said Testator/Testatrix and in his/her presence and sight and in the presence and sight of each other. Said Testator/Testatrix was, at the time of so executing said revocation of Will, over the age of 18 years and, in the respective opinions of the undersigned, of sound mind, memory and understanding and not under any restraint or in any respect incompetent to make a revocation of will. The Testator/Testatrix, in the respective opinions of the undersigned, could read, write and converse in the English language and was suffering from no defect of sight, hearing or speech or from any other physical or mental impairment which would affect his/her capacity to make a valid revocation of will. The revocation of Will was executed as a single, original instrument and was not executed in counterparts. Each of the undersigned was acquainted with said Testator/Testatrix at said time and makes this affidavit at his/her request. The within revocation of Will was shown to the undersigned at the time affidavit was made, and was examined by each of them as to the signature of said Testator/Testatrix and of the undersigned. _____________________________ Witness _____________________________ Witness Severally sworn to before me on this ___ day of _____________________, 20__. _____________________________ NOTARY PUBLIC My Commission Expires: _____________________________ Signed by Testator/Testatrix: __________________________________ - 4 - Signed by Testator/Testatrix: __________________________________ - 5 -