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CODICIL TO THE LAST WILL AND TESTAMENT OF
________
I, ________ (the "Testator"), currently of the city of ________, in the Province of Alberta, declare this to be my codicil (my "Codicil") to my last will and testament being dated ________ (my "Last Will").
________
B. My Last Will is hereby modified by deleting the following provision:
________
C. My Last Will is hereby modified to include the following change:
The following portion of my Last Will is revoked:
________
and is replaced with the following text:
________
D. I hereby confirm and republish my Last Will dated ________ in all respects other than those mentioned here.
________________________________
(Testators Signature)
SIGNED AND DECLARED by ________ on this _______ (day) day of __________ (month), _______ (year) to be the Testator's Last Will, in our presence, at _________________ (city), _________________ (province or territory) in the presence of us, both present at the same time who at the Testator's request, who at the Testator's request and in the presence of the Testator and of each other, have subscribed our names as witnesses hereto. We declare that the Testator signed this Codicil as and for the Testator's Codicil to the Last Will and Testament in our presence, and that at the time of signing the Testator appeared to be of sound mind and memory, and under no constraint or undue influence.
WITNESS:
________________________________
Name:
Address:
City:
Occupation:
WITNESS:
________________________________
Name:
Address:
City:
Occupation:
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