Codicil (Simple)

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FIRST CODICIL TO LAST WILL AND TESTAMENT

OF
MARYLEE JOYCE HEATH

I, Marylee Joyce Heath, a resident of Franklin, Ohio, being of sound mind, do hereby make the
First Codicil to my last will and testament which is dated June 6th , 2007. If any statement in the
Codicil to the Last Will and Testament of Marylee Joyce Heath contradicts my Last Will and
Testament dated 6th day of June 2007, the Codicil shall control.

I am making the following additions or changes to my will:

AMENDMENT TO STRUCTURE OF TESTAMENTARY TRUST OF


MARYLEE JOYCE HEATH

Marylee’s estate updated to read 100% retained in testamentary trust with HEMS payments to
Christian until he turns 21 years of age, then split 40%/40% and distributed to the following 2
children: Christian Javier Wynn and Brittany Nikia McCoy. Any 401K and IRAs remaining after
my death, should be included in the estate for equal distribution as designated in the above
paragraph.

AMENDMENT TO MY LAST WILL AND TESTAMENT OF


MARYLEE JOYCE HEATH

Strike sentence “I have another naturally born daughter, Jeannette Malko, an adult.” Amend next
statement to read: for purposes of the Will, any reference to my “child or children” shall mean
Brittany Heath McCoy and Christian Wynn. I intend by the Will to provide for my legally
recognized children.

All entries of the name Brittany Heath, shall be changed to read Brittany Heath McCoy who has
married since the initial signing of my will dated 6th day of June 2007.

In witness whereof, I have subscribed my name to this, my amendment to my Last Will and
Testament dated the 6th day of June 2007.

Every other aspect of my will shall remain intact, and I confirm and ratify my said Will.

IN WITNESS WHEREOF, I have hereunto set my hand and seal this_____, day of _________,
2016.

_____________________________________
Signature of Marylee Joyce Heath
In Propria Persona
_____________________________________
Printed: Marylee Joyce Heath

FIRST CODICIL TO LAST WILL AND TESTAMENT OF MARYLEE JOYCE HEATH Page 1 of 3
ATTEST

Signed, sealed, published the above-named Marylee Joyce Heath as and for her First Codicil to
her Will, in the presence of us (Witness (1), and Witness (2) to codicil, and each of us, who, at her
request, in her presence and in the presence of each other, have hereunto subscribed our names as
witnesses thereto the day and year last above written.

WITNESS (1): WITNESS (2):

This_______, day of, _________ 2016. This_______, day of, _________ 2016.
Signed: /s/ ______________________ Signed: /s/ ______________________

_____________________________ ______________________________
Printed: Witness (1) Printed: Witness (2)
Witness to the document (Codicil) Witness to the document (Codicil)

Residing at __________________________ Residing at ________________________


_________________________ ________________________

***

ACKNOWLEDGMENT AND AFFIDAVIT

STATE OF OHIO
COUNTY OF FRANKLIN ss.

We, Marylee Joyce Heath, Witness (1) ___________________________________,


Witness (2) _____________________________, the Testator and the witnesses, respectively,
whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby
declare to the undersigned authority that the Testator signed and executed the instrument as the
First Codicil to her Last Will in the presence of the witnesses and that he signed willingly, and that
she executed it as her free and voluntary act for • the purposes therein expressed, and that each of
the witnesses, in the presence and hearing of the Testator and of each other, signed the First
Codicil to her Will as witnesses and that to the best of their knowledge the Testator was at that
time eighteen years of age or older, of sound mind, and under no constraint or undue influence.

_____________________________________ ___________________________________
Signature of Marylee Joyce Heath (Testator) Signature of Witness (1)

_____________________________________
Signature of Witness (2)

FIRST CODICIL TO LAST WILL AND TESTAMENT OF MARYLEE JOYCE HEATH Page 2 of 3
On this_______, day of, _________ 2016, before me the undersigned notary public,
personally appeared, Marylee Joyce Heath, proved to me through satisfactory evidence of
identification, which were _____________________, to be the person who signed the preceding or
attached document in my presence.

______________________________
Signature of Notary Public

My commission expires _______ day of_________ 201__.

(seal)

FIRST CODICIL TO LAST WILL AND TESTAMENT OF MARYLEE JOYCE HEATH Page 3 of 3

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