Holographic Will

I,

of

being of sound mind, declare this to be my last will and testament.

1. Revocation of Previous Wills

I hereby revoke all former wills and codicils made by me and declare this to be my last will and testament.

2. Appointment of Executor

I appoint

as the Executor of this will.

3. Bequests

I give, devise, and bequeath as follows:

To

I give

To

I give

All the rest and residue of my estate I give to

4. Additional Instructions

Signed on this

day of

,

Signature of Testator

Witness 1 - Signature

Witness 1 - Name

Witness 2 - Signature

Witness 2 - Name