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codicil - Carmel Catholic High School

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The testator, __________________________, signed this Codicil in our presence on<br />

the date it bears. Immediately thereafter, at the testator’s request and in the testator’s<br />

presence and in the presence of each other, we signed our names as witnesses. We certify<br />

that we believed the testator to be of sound mind and memory at the time of signing.<br />

Witnesses<br />

Addresses<br />

________________________ residing at<br />

____________________________________<br />

____________________________________<br />

________________________ residing at<br />

____________________________________<br />

____________________________________<br />

________________________ residing at<br />

____________________________________<br />

____________________________________<br />

2

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