Last Will And Testament Of ... Page 3
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______________
)
TATE OF
)
SS
____________
)
COUNTY OF
Each of the undersigned, being first duly sworn, on oath, states that on this ____ day of _____________,
20___;
(1)
I am over the age of eighteen (18) years and competent to be a Witness to the Will of
___________________________________________________ (the testator);
(2)
The Testator, in my presence and in the presence of the other Witnesses whose signatures appear
below;
(a) Declared the foregoing instrument, consisting of ___ pages, of which this is the last, to be
________Will;
(b) Requested me and the other Witnesses to act as Witnesses to _____ Will and to make this
affidavit; and
(c) Signed this instrument.
(3)
I believe the Testator to be of sound mind, and in so declaring and signing, ______ was not acting
under any duress, menace, fraud, or undue influence;
(4)
The other Witnesses and I, in the presence of the Testator and of each other affix our signatures
as Witnesses to the Will and make this affidavit.
____________________________________
_______________________________________
Witness
Witness
____________________________________
_______________________________________
Address
Address
____________________________________
_______________________________________
Address
Address
Signed and sworn to before me this ______ day of _________________________, 20___.
____________________________________
Print Name: __________________________
Notary Public in and for the State of: _______________
My appointment expires::_______________
______
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