STATEMENT
OF NON-INDEBTEDNESS TO LEGATEES
As codicil and amendment to my will, dated
___________________, and witnessed by
______________________________,
__________________________________, and ______________________________, I,
______________________________ declare the following:
I state and believe that at the time of my death, I am
in no way indebted to any of the legacies of my will. Should any of my legatees claim a debt from my estate, my
executor shall pay that amount upon verification, but then decrease such
legatees’ amount of claim in my property by that same amount.
_____________________________________ _______________
Signature Date
_____________________________________ _______________
Witnessed Date
_____________________________________ _______________
Witnessed Date
_____________________________________ _______________
Witnessed
Date
