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Playing with the DSigned, Sealed and Delivered this ______day of ______ 19__.
(SEAL)___________________
(STATE)______
On the ______day of ______ 19____, the _________________ of
_____ executed, acknowledged, and delivered to__________________
his last will and testament, in the presence of the undersigned, this is to
certify that:
1. The testator was known to the undersigned and at the time of making this
will was of sound mind and memory.
2. The testator signed his name to this will in our presence, and in the presence
of each other subscribing witness present, this will was attested by us in the
presence of each other, and in his presence, and the witnesses then and there
signed their names as subscribing witnesses in the presence of each other, in
the presence of the testator, and in the presence of each other.
3. The following is a true copy of the testator’s last will and testament, as
the same was signed by the testator and published to us who subscribed it in
the presence of each other.
4. The testator declared that the said instrument was the last will and testament
of the said testator, and in the presence of the subscribing witnesses he declared
it to be his last will and testament, and in the presence of each other, the
subscribing witnesses declared it to be their act and deed to have been duly
executed in their presence by the said testator, who then and there declared it to
be his last will and testament, and that he executed the same as his free act and
deed for the purpose therein expressed, and at the time of making and publishing
the same in their presence. We were present at the time the said instrument was
executed in their presence and heard it read, and saw the same signed by the
said testator, who declared it to be his last will and testament. We do hereby
certify that the said subscribing witnesses, who attested the will in the presence
of each other and of the testator and in the presence of each other, in the
presence of the testator, and in the presence of each other, did in fact subscribe
their names to said will in the presence of each other.
Witnesses:
_______________________, ________________________, (Seal)______________________
_______________________, _______________________, (Seal)______________________
Signature of Witnesses (Each Witness Must Sign)
_______________________, ________________, ________________, ________________
Printed Name of Witness (If Not Same As Above)
This instrument was signed, sealed and delivered by _________
(SEAL)___________________
(STATE)______
The above instrument, consisting of ______ pages, including the envelope, was
acknowledged before me on this ____day of ______ 19____, by (Witnesses) ________________.
(SEAL)_____________
My commission expires _______________
(SEAL)_____________________
__________(Signature)_________________
Witness (Each Witness Must Sign)
_______________________, ________________________, (Seal)______________________
_______________________, _______________________, (Seal)______________________
Signature of Witness (If Not Same as Above)
_______________________, ________________, ________________, ________________
_______________________, ________________________, ________________, (Seal)_______
_______________________, _______________________, ________________, (Seal)__________
Signature of Witness (If Not Same as Above)
_______________________, ________________, ________________, ________________
(SEAL)_____________________
(STATE)______
The foregoing instrument was executed, acknowledged and delivered to _________________
the undersigned, as a will, by (Witnesses) ________________.
(SEAL)__________________
(STATE)_______
__________________________________
__________________________________
The foregoing instrument was acknowledged before me on the ________day of _______ 19_______,
19____, by _____________________.
(SEAL)_________________
(STATE)_______
Subscribed and sworn to before me this ____day of _______________, 19____.
__________________________________
Judge of Probate (If State has No Executor)
_______________________, ________________, ________________, ________________
I, __________________________________ (Signature) ______________,
Substitute Executor of the Estate of (Name of Decedent)__________of (Address)_______.
do hereby certify that all the above is true to the best of my knowledge.
I, ________________________, certify that I have personal knowledge of the foregoing,
and that the same is a full, true and correct copy of the original
instrument; that each and every person subscribed to it in my presence, in the
presence of the testator, and in the presence of each other; that each and every
person signed it in my presence; that the seals affixed to it are the
genuine seals affixed thereto by the said testator and witnesses; that the
subscribing witnesses personally appeared before me in my office at _______on
______________________, 19____, and subscribed their names in my presence in the
presence of the testator, and in the presence of each other.
Witnesses:
_______________________, ________________________, (Seal)______________________
_______________________, _______________________, (Seal)______________________
Signature of Witnesses (Each Witness Must Sign)
_______________________, ________________, ________________, ________________
Printed Name of Witness (If Not Same As Above)
This instrument was signed, sealed and delivered by __________
(SEAL)___________________
(STATE)______
Subscribed and sworn to before me this ____day of _______________, 19____.
__________________________________
Executor (If Estate has no Substitute Executor)
_______________________, ________________, ________________, ________________
I, ________________________, (Signature) ________________________
Estate of (Name of Decedent)__________of (Address)___________, do hereby certify
that all the above is true to the best of my knowledge.
I, ________________________, certify that I have personal knowledge of the foregoing,
and that the same is a full, true and correct copy of the original
instrument; that each and every person subscribed to it in my presence, in the
presence of the testator, and in the presence of each other; that each and every
person signed it in my presence; that the seals affixed to it are the
genuine seals affixed thereto by the said testator and witnesses; that the
subscribing witnesses personally appeared before me in my office at _______on
______________________, 19____, and subscribed their names in my presence in the
presence of the testator, and in the presence of each other.
Witnesses:
_______________________, ________________________, (Seal)______________________
_______________________, _______________________, (Seal)______________________
Signature of Witnesses (Each Witness Must Sign)
_______________________, ________________, ________________, ________________
Printed Name of Witness (If Not Same as Above)
This instrument was signed, sealed and delivered by _________
(SEAL)___________________
(STATE)______
Subscribed and sworn to before me this ____day of _______________, 19____.
__________________________________
Executrix (If Estate has no Substitute Executor)
_______________________, ________________, ________________, ________________
I, ________________________, (Signature) ________________________
Estate of (Name of Decedent)__________of (Address)___________, do hereby certify
that all the above is true to the best of my knowledge.
I, ________________________, certify that I have personal knowledge of the foregoing,
and that the same is a full, true and correct copy of the original
instrument; that each and every person subscribed to it in my presence, in the
presence of the testator, and in the presence of each other; that each and every
person signed it in my presence; that the seals affixed to it are the
genuine seals affixed thereto by the said testator and witnesses; that the
subscribing witnesses personally appeared before me in my office at _______on
______________________, 19____, and subscribed their names in my presence in the
presence of the testator, and in the presence of each other.