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County) County, (Name of State), declare this to be a Codicil to my Last Will and Testament dated (date). This Codicil amends or supplements my Will only as provided herein. Except as amended or supplemented, my Will shall remain in full force and effect. By this codicil I revoke that part of Article (Number) of my Last Will and Testament in which I devised and bequeathed to (Name of Beneficiary), of.

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