I give, devise, and bequeath $ ___________ to WSLR, INC located at 525 Kumquat Court, Sarasota, FL 34236 for its charitable uses and purposes.
In all other respects I ratify and confirm all of the provisions 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 both persons witnessing said Codicil at my request this _____ day of ___________, 20__.
_________________________ residing at __________________________ (name)
_________________________ residing at ___________________________ (name)
_________________________ residing at ___________________________ (name)
The codicil, to be valid, must be signed in the presence of both witnesses who are present at the same time, and the original placed with your other valuable papers. A copy can go to your lawyer and a copy to WSLR, Inc.