TOTAL REVOCATION-Form 1092

I, ……………………….., residing in the municipality of ……………….,

province of ………………….., Philippines, ……………………… years of age, and
being of sound and disposing mind and memory, do hereby declare this to be my last will
and testament, specifically revoking and annulling my will dated ……………………. 20
………, and all other wills heretofore made by me.

1. (Insert new provisions of the will.)

In witness whereof, I have hereunto subscribed my name in the presence of each

of every witness attesting this will this …………. day of …………………, 20….

(ATTESTATION CLAUSE)

(ACKNOWLEDGMENT)