Codicil Form
I
(Name-Please Print Clearly)
Of
(Address)
Declare this to be a Codicil which I make this day of 20
To my Will which bears the date day of (month) (year).
In addition to the provision of my said Will:
(1) I bequeath free of tax to :
the sum of: £ Amount in words:
Description of item/name of property:
(2) In all other respects I confirm my said Will and any codicils made before this date. In Witness therefore I have
hereunto set my hand the day and year first above written.
Signed by the said Testator/rix
(SIGNATURE)
As a Codicil to his/her last Will in our joint presence and by us in his/hers.
Charity Number 1103346
FIRST WITNESS:
Name:
Signature:
of
(Address)
SECOND WITNESS:
Name:
Signature:
of
(Address)