Sample Codicil

I give, devise, and bequeath $ ___________ to the AACR Foundation, 615 Chestnut St., 17th Floor, Philadelphia, PA 19106-4404, 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)