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CODICIL TO LAST WILL AND TESTAMENT OF ________________________

I, ________________________ (the 'Testator') of ______________________, Ohio, declare this to be my codicil (my 'Codicil') to my last will and testament being dated the 22nd day of December, 2024 (my 'Last Will').

  1. Clause __________ of my Last Will will be modified as follows:

    The beneficiary of __________ will be changed from "________________________" to "________________________ of __________, Ohio".

  2. I hereby confirm and republish my Last Will dated the 22nd day of December, 2024 in all respects other than those mentioned here.

IN WITNESS WHEREOF, I have signed my name on this the ________ day of ________________, ________, at __________, Ohio, declaring and publishing this instrument as my Codicil to Last Will, in the presence of the undersigned witnesses, who witnessed and subscribed this Codicil to Last Will at my request, and in my presence.


_____________________________
________________________ (Testator)

SIGNED AND DECLARED by ________________________ on the ________ day of ________________, ________ to be his Codicil to Last Will, in our presence, at __________, Ohio, who at his request, in his presence and in the presence of each other, all being present at the same time, have signed our names as witnesses.

__________________________
Witness #1 Signature
__________________________
Witness #1 Name (Please Print)
__________________________
Witness #1 Street Address
__________________________
Witness #1 City/State

__________________________
Witness #2 Signature
__________________________
Witness #2 Name (Please Print)
__________________________
Witness #2 Street Address
__________________________
Witness #2 City/State

__________________________
Witness #3 Signature
__________________________
Witness #3 Name (Please Print)
__________________________
Witness #3 Street Address
__________________________
Witness #3 City/State



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