This codicil is made to the last will and testament of [YOUR NAME], dated [DATE], herein referred to as the "Original Will."
The Testator, [YOUR NAME], residing at [YOUR COMPANY ADDRESS], Indiana, hereby makes the following amendments to the Original Will.
The Testator hereby adds the following individual(s) as beneficiaries to the Original Will:
Name of New Beneficiary 1: [Full Name]
Relationship to Testator: [Relationship]
Description of Bequest: [Brief description of what is being bequeathed]
Name of New Beneficiary 2: [Full Name]
Relationship to Testator: [Relationship]
Description of Bequest: [Brief description of what is being bequeathed]
The Testator hereby removes the following individual(s) as beneficiaries from the Original Will:
Name of Removed Beneficiary 1: [Full Name]
Relationship to Testator: [Relationship]
Name of Removed Beneficiary 2: [Full Name]
Relationship to Testator: [Relationship]
The Testator declares that this codicil, consisting of [Number of Pages] pages, is executed as a codicil to the Original Will in the presence of the undersigned witnesses.
[YOUR NAME]
[YOUR COMPANY ADDRESS]
[DATE SIGNED]
We, the undersigned witnesses, affirm that the Testator signed this codicil in our presence, and we witnessed it in the presence of each other.
Name: [WITNESS NAME 1]
Address: [WITNESS ADDRESS 1]
[DATE SIGNED]
Name: [WITNESS NAME 2]
Address: [WITNESS ADDRESS 2]
[DATE SIGNED]
Acknowledged before me on [DATE] by [YOUR NAME], the Testator, known to me (or proved to me based on satisfactory evidence) to be the person whose name is subscribed to the foregoing instrument and acknowledged that he/she executed the same for the purposes therein contained.
Notary Public Name: [NOTARY'S NAME]
Commission Expires: [EXPIRATION DATE]