FUNERAL SERVICE CODICIL

As codicil and amendment to my will, dated ____________ (month & day), _________ (year) and witnessed by __________________________, ______________________, and ___________________________, I, ______________________________ declare the following:

My funeral is to be conducted at ___________________________________________, according to the following rites and specifications: ____________________________

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Furthermore, I order that my remains be handled as follows: ______________________________________________________________________ _____________________________________________________________________.

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(Signature) (Date)

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(Witnessed) (Date)

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(Witnessed) (Date)

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(Witnessed) (Date)