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CODICIL TO LAST WILL AND TESTAMENT OF ________________________
I, ________________________ (the 'Testator') of ______________________, Australian Capital Territory, declare this to be my codicil (my 'Codicil') to my last will and testament being dated 16 January 2021 (my 'Last Will').
IN WITNESS WHEREOF, I have signed my name on this 16th day of January, 2021, at __________, Australian Capital Territory, 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 this 16th day of January, 2021 to be their Codicil to Last Will, in our presence, at __________, Australian Capital Territory, who at their request, in their 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 and State/Territory
__________________________Witness #2 Signature__________________________Witness #2 Name (Please Print)__________________________Witness #2 Street Address__________________________Witness #2 City and State/Territory
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