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eal ____________________________________ (Signature of Notary Public) NOTARY SEAL Testator's initial's _____ Codicil with Pet Provision 2 zed capacity(ies), and that by his/her/their signatures on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS my hand and official se on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorihe officer) Personally appeared _______________________________________________________ ________________________________________________________________________ personally known to me (or proved to motary Acknowledgment State of __________________________ County of ________________________ On ____________________, before me, _______________________________________ (here insert name and title of t______________ _______________________ _______________________ _______________________ _______________________ _______________________ (Address of Witness) (Address of Witness) (Address of Witness) Nature of Witness) (Signature of Witness) _______________________ _______________________ _______________________ (Printed Name of Witness) (Printed Name of Witness) (Printed Name of Witness) _________under no constraint or undue influence, and we all know Testator to be of sound mind and legal age. _______________________ _______________________ _______________________ (Signature of Witness) (Sign present when _________________ by signing the Codicil, published this Codicil to the Last Will and Testament, and in the presence of the Testator, and each other, we did sign this instrument freely, elow-named witnesses, having been duly sworn, and under the penalty of perjury, sign our names to this instrument and declare to the undersigned authority that: On ____________________, each of us was of sound mind Testator's initial's _____ Codicil with Pet Provision 1 and of legal age. _______________________ (Signature of Testator) _______________________ (Printed Name of Testator) We, the b provisions herein described. I sign this Codicil, consisting of ______ pages, this date ____________, freely, for the purposes expressed, under no constraint or undue influence, and declare that I amch animals will be cared for in a manner that any responsible, devoted pet owner would give his or her pets. I intend my Last Will and Testament to be modified by this Codicil only with regard to thetate. Should [NAME OF CARETAKER] not wish to receive my animal(s), I direct my Personal Representative to place my animal(s) in a private, non-institutionalized setting (individual or family) where sue care of my animal(s) during their lifetime. This gift will lapse if no animal(s) is living at the time of death. Any money remaining after the death of my animal shall be returned to my residuary es of this Article ____________. Option 2 I give my animal(s) alive at the time of death to [NAME OF CARETAKER] _______________________________________ along with the sum of $_________ to be used for thed setting (individual or family) where such animals will be cared for in a responsible manner. I intend that my Personal Representative have the broadest possible discretion to carry out the purposeson) shall be charged against the principal of my residuary estate. Following such consultation, I direct my Personal Representative to place any and all of my animals in a private, non-institutionalizall be euthanized, cremated, and the ashes disposed of at the discretion of my Personal Representative. Any expenses incurred for this care (including the costs of veterinary services and transportati in generally good health and not suffering physically. Any animal(s) not in generally good health, or who is suffering physically, and whose care is beyond the capabilities of veterinary medicine, sh___________, D.V.M. (currently at the _______________________ Hospital), or, should Dr. _____________ be unavailable, a veterinarian chosen by my Personal Representative, to ensure that my animals arell and Testament: [Choose one] Option 1 {Article Number}With regard to my animals alive at the time of my death, I direct my Personal Representative to consult [NAME OF VETERINARIAN] __________________________________ ____________________________, do declare this a Codicil to my Last Will and Testament, on this date ___________________________. The following provisions shall be added to my Last Wiin a safe place, generally with the Will. Codicil Information & Instructions 2 Codicil to the Last Will and Testament of _________________ I, __________________________, my address being ___________e provided. 8. Have the Notary Public complete the Notary Acknowledgment section of the codicil. Once these steps are carefully followed, your Codicil becomes a valid legal document. Keep the Codicil rovided. 6. Have the second witness sign and print their name and fill in their address in the space provided. 7. Have the third witness sign and print their name and fill in their address in the spac marked at the end of the Codicil. 4. Initial the bottom of each page of the codicil in the place provided. 5. Have the first witness sign and print their name and fill in their address in the space pr a disposition arise 2. Have all of the witnesses meet at the office or home of a local Notary Public. In the presence of the witnesses and the Notary Public: 3. Sign the Codicil in ink, in the place will/codicil either as a beneficiary, executor, trustee, or guardian c. Can be friends, neighbors, co-workers, or even strangers d. May be called upon to testify in court someday should a dispute ove. To properly execute your Codicil follow these steps: 1. Select three (3) witnesses to assist you by witnessing your execution of the Codicil. These persons: a. Must be Adults b. Not mentioned in thel. The legal requirements to properly execute a Codicil are the same as those to execute a Will; follow them carefully to ensure your Codicil has the same power of disposition of property as your willons DO NOT SIGN YOUR CODICIL UNTIL YOU HAVE READ THESE INSTRUCTIONS! Once your codicil is properly formatted, you must have the necessary witnesses and Notary Public present before you sign the Codici otherwise) arising in any way out of the use of these materials. An attorney should be consulted for all serious legal matter. Codicil Information & Instructions 1 Codicil ­ Pet Provision Instructiitute goods or services; loss of use, data, or profits; or business interruption) however caused and on any theory of liability, whether in contract, strict liability, or tort (including negligence orrs, authors or publishers of the forms, be responsible or liable for any direct, indirect, incidental, special, exemplary, or consequential damages (including, but not limited to, procurement of substpleteness for any of the materials for your particular needs. The materials are used at your own risk. In no event will: i) FindLegalForms, Inc, its agents, partners, or affiliates, or ii) the providesubject to the "Disclaimers and Terms of Use" found at findlegalforms.com. These materials are provided "AS-IS." We do not give any express or implied warranties of merchantability, suitability or comting, and valid, will. Disclaimer No Attorney-Client relationship is created by use of these materials. FindLegalForms, Inc. does not provide legal advice. The purchase and use of these materials is s not avoid probate for the Testator's estate. It merely directs how the animals the Testator owns will be provided for when the Testator passes. This form is to be used in conjunction with a pre-exisCodicil ­ Pet Provision Information This Codicil, an amendment to a Will, describes the care the person making the Will (the "Testator") wants taken with regard to his or her animals. This Codicil doe