SETTLEMENT OF BANKRUPTCY

DISCHARGED DEBTS

 

As codicil and amendment to my will, dated ___________________, and witnessed by

______________________________, __________________________________, and ______________________________, I, ______________________________ declare the following:

 

In addition to all outstanding debts I accrued at the time of my death, my executor shall also pay $___________________ to ________________________, for the fulfillment of a debt incurred, but discharged in __________________________ bankruptcy court on _____________________. 

 

 

_____________________________________                                            _______________

Signature                                                                                                                 Date

 

_____________________________________                                            _______________

Witnessed                                                                                                               Date

 

_____________________________________                                            _______________

Witnessed                                                                                                               Date

 

_____________________________________                                            _______________

   Witnessed                                                                                       Date