CODICIL TO LAST WILL OF AND TESTAMENT OF ________________________

I, ________________________ (the 'Testator') of ______________________, Alberta, declare this to be my codicil (my 'Codicil') to my last will and testament being dated the 21st day of September, 2019 (my 'Last Will').

1. Clause __________ of my Last Will will be modified as follows:
   
   The beneficiary of __________ will be changed from "________________________" to "________________________ of __________, Alberta".
   
   
2. I hereby confirm and republish my Last Will dated the 21st day of September, 2019 in all respects other than those mentioned here.
   

IN WITNESS WHEREOF, I have signed my name on this the 21st day of September, 2019, at __________, Alberta, 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 21st day of September, 2019 to be their Codicil to Last Will, in our presence, at __________, Alberta, 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.

AFFIDAVIT OF EXECUTION

CANADA

ALBERTA

TO WIT:

I, ________________, of ____________, ____________, MAKE OATH AND SAY THAT:

1. I was personally present and did see ________________________, who is known to me to be the person named in the attached Codicil ("the Instrument"), duly sign and execute the Instrument;
   
2. The Instrument was signed at __________, Alberta;
   
3. I am the subscribing witness to the Instrument;
   
4. ________________________ was personally present and did see me duly sign the Instrument; and
   
5. I believe the person named in the instrument, whose signature I witnessed, ________________________, is at least the age of majority in Alberta.
   

AFFIDAVIT OF EXECUTION

CANADA

ALBERTA

TO WIT:

I, ________________, of ____________, ____________, MAKE OATH AND SAY THAT:

1. I was personally present and did see ________________________, who is known to me to be the person named in the attached Codicil ("the Instrument"), duly sign and execute the Instrument;
   
2. The Instrument was signed at __________, Alberta;
   
3. I am the subscribing witness to the Instrument;
   
4. ________________________ was personally present and did see me duly sign the Instrument; and
   
5. I believe the person named in the instrument, whose signature I witnessed, ________________________, is at least the age of majority in Alberta.