Last Will And Testament Page 4

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SELF-PROVING AFFIDAVIT
STATE OF TEXAS
§
§
COUNTY OF ____________
§
Before
me
the
undersigned
authority
on
this
day
personally
appeared___________________________________________________________,
________________________ and __________________________ known to me
to be the Testatrix and the witnesses respectively, whose names are subscribed to
the annexed or foregoing instrument in their respective capacities, and all of said
persons being by me duly sworn, the Testatrix_____________________ declared
to me and to the said witnesses in my presence that said instrument is her Last W ill
and Testament, and that she had willingly made and executed it as her free act and
deed for the purposes therein expressed; and the said witnesses each under oath
stated to me in the presence and hearing of said Testatrix that the said Testatrix had
declared to them that Instrument is her Last W ill and Testament, and that she
executed the same as such and wanted each of them to sign it as witnesses; and
upon their oaths each witness stated further that they did sign the same as
witnesses in the presence of the said Testatrix and at her request; that she was at
that time eighteen (l8) years of age or over and was of sound mind; and that each
witness was then at least fourteen (14) years of age.
___________________________________
___________________________________
___________________________________
___________________________________
S ubscribed
and
acknowledged
before
m e
by
the
said
Testatrix,_____________________, and subscribed and sworn to before my by the
said witnesses _________________________, _______________________ and
____________________________ on this _____ day of ______________, 20___.
_____________________________
Notary Public in and for
The State of Texas
4

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