CODICIL TO LAST WILL OF________________________
I, ________________________ (the 'Testatrix') of ______________________, District of Columbia, declare this to be my codicil to last will (my 'Codicil') to my last will and testament being dated the 27th day of September, 2016 (my 'Last Will').
IN WITNESS WHEREOF, I have signed my name on this the 27th day of September, 2016, at __________, District of Columbia, 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._____________________________________________________ (Testatrix)
SIGNED AND DECLARED by ________________________ on the 27th day of September, 2016 to be her Codicil to Last Will, in our presence, at __________, District of Columbia, who at her request, in her 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
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