Sample Codicil

When it’s time to update your will, you don’t have to start from scratch.

You can use a codicil, an addition or supplement that explains or modifies your existing will.

I give, devise, and bequeath $ ___________ to [name of Providence medical center], [address of Providence medical center], for its charitable uses and purposes.

In all other respects I ratify and confirm all of the provision of my said last Will and Testament dated on the _________ day of ______________, 20__.

IN WITNESS WHEREOF, I sign, publish and declare this instrument to be a Codicil to my last Will and Testament in the presence of the persons witnessing said Codicil at my request this _____ day of ___________, 20__.

_________________________ residing at __________________________
(name)

Witnesses

_________________________ residing at __________________________
(name)
_________________________ residing at __________________________
(name)

The codicil, to be valid, must be signed in the presence of witnesses, and the original placed with your other valuable papers. A copy can go to your lawyer and a copy to a Providence Medical Center of your choice.

We're here to help

Planned Giving Team
myimpact.providence.org/contact-us
CAPlannedGiving@providence.org
(833) 752-1573
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