Handwritten Codicil to Will

Date:
Full Legal Name of Testator:
Address of Testator:

Declaration

I, , declare this as a codicil to my Last Will and Testament, executed on .

Changes to Will

1.
2.
3.
All other provisions of my Will remain unchanged.
Signature of Testator:
Date:

Witnesses

Witness 1 Name: Signature: Address:
Witness 2 Name: Signature: Address: