
4. Specific Gifts of Cash.
(Optional) I make the following cash gifts to the persons named below who survive me, or to
the named charity, and I sign my name in the box after each gift. If I do not sign in the box, I do not make a gift. (Sign
in the box after each gift you make.)
Name of Person or Charity to receive gift
(name one only – please print)
Amount of Cash Gift
__________________________________________
Sign your name in this box to make this gift
Name of Person or Charity to receive gift
(name one only – please print)
Amount of Cash Gift
__________________________________________
Sign your name in this box to make this gift
Name of Person or Charity to receive gift
(name one only – please print)
Amount of Cash Gift
__________________________________________
Sign your name in this box to make this gift
Name of Person or Charity to receive gift
(name one only – please print)
Amount of Cash Gift
__________________________________________
Sign your name in this box to make this gift
Name of Person or Charity to receive gift
(name one only – please print)
Amount of Cash Gift
___________________________________________
Sign your name in this box to make this gift
5. Balance of My Assets
. Except for the specific gifts made in paragraphs 2, 3 and 4 above, I give the balance of my
assets as follows:
(Select one choice only and sign in the box after your choice. If I sign in more than one box or if I do not sign in any
box, the court will distribute my assets as if I did not make a Will.)
a. Choice One
: All to my spouse or domestic
partner, registered with the California Secretary of
State, if my spouse or domestic partner, registered
with the California Secretary of State, survives me;
otherwise to my descendants (my children and the
descendants of my children) who survive me.
b. Choice Two
: Nothing to my spouse or domestic
partner, registered with the California Secretary of
State; all to my descendants (my children and the
descendants of my children) who survive me.
c. Choice Three
: All to the following person if he or
she survives me (Insert the name of the person.):
_______________________________________