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REVOCATION OF
LAST WILL AND TESTAMENT OF
_______________________________________
BE IT KNOWN THIS DAY THAT,
I, __________________________________, of ______________________ County, Virginia,
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 -
Virginia Self Proving Affidavit
I, __________________________, sign my name to this instrument this ______ day of
_______________, 20___, and being first duly sworn, do hereby declare to the undersigned
authority that I sign and execute this instrument as my revocation of will and that I sign it
willingly, that I execute it as my free and voluntary act for the purposes therein expressed, and
that I am 18 years of age or older, of sound mind, and under no constraint or undue influence.
_________________________________
Testator
We, ______________________________ and
________________________________, the witnesses, sign our names to this instrument,
being first duly sworn, and do hereby declare to the undersigned authority that the
Testator/Testatrix signs and executes this instrument as the Testator’s/Testatrix's revocation of
will and that the Testator/Testatrix signs it willingly, that each of us, in the presence and
hearing of the Testator/Testatrix, hereby signs this revocation of will as witness to the
Testator’s/Testatrix’s signing, and that to the best of our knowledge the Testator/Testatrix is 18
years of age or older, of sound mind, and under no constraint or undue influence.
__________________________________
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 ________________, 209__.
___________________________________
Official capacity of officer
Print Name and Address of Witnesses:
_____________________________________ _____________________________________
ADDRESS: ____________________________ ADDRESS: ____________________________
_____________________________________ _____________________________________
_____________________________________ _____________________________________
Virginia Self Proving Affidavit
- 1 -
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