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Affidavit Of Witness As To Will

Before me, the undersigned authority authorized to take acknowledgments and administer oaths, personally appeared: who after being having duly sworn or affirmed to tell the truth, stated:

1. That the instrument on file in this court dated [Date], is the last will and testament of which witnessed.

2. That signed this instrument in their presence.

3. That is well known to , and that at the time of execution believes to be of lawful age, of sound mind and under no undue influence or constraint.

Signature

Signature

Officer

This Section for Notary:

Acknowledgment

STATE OF -------)

) ss: [date]

COUNTY OF ------)

On [Date] before me, [Name of Notary], notary, personally appeared [Name of Person(s) Involved], personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

Witness my hand and official seal.

[signature]

[Name of Notary Public]

My commission expires: [date]

(Seal)