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(Oral Will Later Reduced To Writing)
(Note: A nuncupative will is a verbal will later reduced to writing. Under certain state and federal laws, soldiers or sailors may if they are in fear of death make a verbal will, usually limited to a small amount in value or their belongings. The witnesses then must reduce the will to writing. This form is provided for that purpose. These wills are not recognized in most states, and are only available to those in immediate danger of death. In addition, these wills usually can only pass personal belongings or items of low value.)
STATE OF -------)
) ss: [date]
COUNTY OF ------)
[Name], being first duly sworn to tell the truth, states:
That affiant resides at:
That on [Date], [Name] died, and at that time was [--] years of age.
That on [date], TESTATOR, being in contemplation of imminent death due to terminal diagnosis, and in the opinion of the WITNESS possessing testamentary capacity, at approximately [--] pm, made the following dispositions of assets before [Name] and [Name], [Name]:
[Name] personal belongings should be given to [Name]
That the substance of the disposition was reduced to writing on [Date] by [Name].
FURTHER AFFIANT SAYS NOT.
Sworn to and subscribed before me on [Date].
[Name of Notary Public]
My commission expires: [date]