_____________________________
_____________________________
Printed Name:_______________
Printed Name:_______________
Witness 1
Witness 2
Address: ___________________
Address: ___________________
_____________________________
_____________________________
_________________, TX _______
_________________, TX _______
SELFPROVING AFFIDAVIT
STATE OF TEXAS
*
*
COUNTY OF ___________
*
BEFORE ME, the undersigned authority, on this day personally
appeared ____________________________, ________________________________,
and ______________________________, known to me to be the Testator and
the Witnesses, respectively, whose names are subscribed to the annexed
or foregoing instrument in their respective capacities, and, all of the said
persons having been by me duly sworn, the said _______________________,
Testator, declared to me and to the said Witnesses in my presence that
this said instrument is his/her Last Will and Testament and that he/she
had willingly made and executed it as his/her free act and deed for the
purposes therein expressed and that he/she had requested the aforesaid
Witnesses to sign as attesting Witnesses thereto. The said Witnesses,
each on oath, stated to me, in the presence and hearing of the Testator,
that the said Testator had declared to them that said instrument is
his/her Last Will and Testament, and that he/she executed the same as
such and wanted each of them to sign it as a Witness; and upon their
respective oaths, each Witness stated further that they did sign the same
as Witnesses in the presence of the said Testator and at his/her request
and in the presence of each other; that said Testator was at that time
eighteen years of age or over and was of sound mind, and that each of
the said Witnesses was then at least fourteen years of age or over.
_____________________________
(Name)
Testator
______________________
Witness
______________________
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