This form is designed for you to fill in, print and sign.
It does not "go anywhere" on-line.

Add a legacy to your Will (Codicil Form)

If you have already made your Will, it is very simple to amend it leave a gift to charity. You do not need to write another Will, you can just add the amendment (codicil) to your existing one.

Please complete this form and send one copy to your solicitor and another copy to your executor or a trusted friend with a note of where the original is kept:

I (name)
Of (address)
Declare this to be a codicil to my last Will dated
In addition to any legacies given in my said Will I give to MITYANA CHARITY of 6 Tangley Drive, Wokingham, Berks RG41 2NY, Registered Charity Number 1064825
% of my estate
or the sum of £
and/or (a specific item)
to be used for general purposes and I declare that the receipt of the Treasurer or duly authorised officer shall be a full and sufficient discharge. In all other respects I confirm my said Will and all other codicils thereto.
Signature
 
Date

Signed by the above named in our presence and witnessed by us in the presence of him/her and each other.

Witnessed by:

Signature ______________________

Name _________________________

Address _______________________

______________________________

Occupation ____________________

Signature ______________________

Name _________________________

Address _______________________

______________________________

Occupation ____________________