I, ____________________________ of _________________________________

C O D I C I L S U G G E S T E D W O R D I N G /R E TA I N A B L E C O D I C I L

FULL NAME YOUR HOME ADDRESS

• the whole / portion (DELETE AS APPROPRIATE) of my real and personal

property not hereby or by a Codicil hereto, otherwise specifically

disposed of after payments of my debts, pecuniary legacies, funeral

and administration expense, and any taxes in respect of my estate

(a gift of the residue)

• the sum of $_____________CAD free of tax (A CASH GIFT)

• my (a gift of valuable possession) to Greenpeace Canada,

33 Cecil Street Toronto, ON M5T 1N1, registered business number

124206723RP, to be used for its general charitable purposes and I

declare that the receipt of their Treasurer or other proper officer

shall be a full and sufficient discharge.

declare this to be a first / second / third (DELETE AS APPROPRIATE)

Codicil to my Will dated: ________________________________

I give (DELETE OR COMPLETE THE FOLLOWING SECTIONS AS APPROPRIATE):

DATE (DD/MM/YYYY)

In all respects I confirm my said Will and any previous Codicils thereto.

CONTINUED...

I witness thereof I have hereunto set my hand this

Dated:

Signed by the said:

as a first/second/third (DELETE AS APPROPRIATE) Codicil to (his/her) last Will in our joint presence and then by us in (his/hers)

Second Witness

SECOND WITNESS’S SIGNATURE

NAME OCCUPATION

ADDRESS

First Witness

FIRST WITNESS’S SIGNATURE

NAME OCCUPATION

ADDRESS

DAY OF MONTH YEAR

YOUR NAME