ANNUITY WITH EXECUTOR PAYMENT CLAUSE As codicil and amendment to my will, dated ___________________, and witnessed by ______________________________, __________________________________, and ______________________________, I, ______________________________ declare the following: I bequeath to ____________________________________________ an annuity to pay $ _______________ per ____________ (Week, Month, Year). This annuity shall last the duration of _________________________________________'s life. My executor shall establish this annuity with an insurance company of his discretion and begin payments of $ ________________ per _________ (Week, Month, Year). These payments shall be made from the general assets of my estate immediately after my death until the annuity becomes effective. _____________________________________ ______________ Signature Date _____________________________________ ______________ Witness Date _____________________________________ ______________ Witness Date _____________________________________ ______________ Witness Date