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REVOCATION OF
LAST WILL AND TESTAMENT OF
_______________________________________
BE IT KNOWN THIS DAY THAT,
I, __________________________________, of ______________________ County, West
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. _______________________________
AFFIDAVIT OF SUBSCRIBING WITNESS
STATE OF WEST VIRGINIA
COUNTY OF __________________
Signed by Testator/Testatrix: __________________________________ - 2 -
PERSONALLY appeared before me, the undersigned authority in and for the county
and state aforesaid, ______________________________________, who, being by me first
duly sworn, makes oath to the following:
1. The undersigned, ________________________, was a subscribing witness to that
certain instrument of writing dated ___________, which is the true and original revocation of
Last Will and Testament of ________________________________.
2. That said ___________________________ signed, published and declared said
instrument as his or her revocation of Last Will and Testament on the __ day of ___________,
20__, the date of said instrument, in the presence of two (2) subscribing witnesses,
___________________________ and ____________________________.
3. The said ____________________________________ was then and there of sound
and disposing mind, memory and understanding and was over eighteen (18) years of age.
4. Affiant, ___________________________________, a competent adult, subscribed
and attested said instrument as a witness to the signature, publication and declaration thereof
by the said ________________________________, at the special instance and request of the
said ______________________________________, in her presence and in the presence of
___________________________ and ___________________________.
______________________________________
WITNESS
SWORN TO AND SUBSCRIBED before me, this the _____ day of
_________________, 20__.
___________________________________
NOTARY PUBLIC
MY COMMISSION EXPIRES:
__________________________
Signed by Testator/Testatrix: __________________________________ - 3 -
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