OMISSION
OF FORMER SPOUSE
As codicil and amendment to my will, dated
___________________, and witnessed by
______________________________,
__________________________________, and ______________________________, I,
______________________________ declare the following:
____________________________________ (Name), of ______________________
________________________________, who was my
_________________, until our divorce on ________________________ (Date) has been willfully omitted from my
will and shall have no claim to any part of my estate.
____________________________________ _______________
Signature Date
____________________________________ _______________
Witness Date
____________________________________ _______________
Witness Date
___________________________________ _______________
Witness Date
