Will Codicil
First Codicil to the Will of _______________

I, _______________, a resident of _______________ [county], State of _______________, declare this to be the first codicil to my will dated ________________, ________.
FIRST: I revoke the provision of Clause ____of my will that provided:
[include the exact will language you wish to revoke]
___________________________.
SECOND: I add the following provision to Clause _____ of my will:
[add whatever is desired]
___________________________.
THIRD: In all other respects I confirm and republish my will dated _______________, ____.

Dated : ________________, ____.

Signature
I subscribe my name to this codicil this _________ day of _________________, ____ at _____________________ [county], State of ___________________.
I declare under penalty of perjury that I sign and execute this codicil willingly, that I execute it as my free and voluntary act for the purposes expressed, and that I am of the age of majority or otherwise legally empowered to make a codicil and under no constraint or undue influence.

Signature: _____________________________________________
Witnesses
On this _________ day of ___________________, ____, _______________ [codicil maker’s name], declared to us, the undersigned, that this instrument was the codicil to _______ [his/her] will and requested us to act as witnesses to it. The testator signed this codicil in our presence, all of us being present at the same time. We now, at the testator’s request, in the testator’s presence and in the presence of each other, subscribe our names as witnesses and declare we understand this to be the testator’s codicil and that to the best of our knowledge the testator is of the age of majority, or is otherwise legally empowered to make a codicil, and is under no constraint or undue influence.

We declare under penalty of perjury that the foregoing is true and correct, this _________ day of ___________________, ____, at ____________________ [county], State of _______________.

Witness 1

Signature: ______________________________________________
Typed or printed name: __________________________________
Residing at: __________________________________
City, state, zip: __________________________________

Witness 2

Signature: ______________________________________________
Typed or printed name: __________________________________
Residing at: __________________________________
City, state, zip: __________________________________

Witness 3

Signature______________________________________________
Typed or printed name: __________________________________
Residing at: __________________________________
City, state, zip: __________________________________