Last Will And Testament Of Name Of The Testator Page 2

the ____________ day of ________________________________, ________

at ________________________________________, in the presence of the following

witnesses, who witnessed and subscribed this will at my request, and in my presence.

_______________________________________

NAME OF THE TESTATOR

ATTESTATION CLAUSE

On the date above written, NAME OF THE TESTATOR, well known to us declared to

us, and in our presence, that this instrument,

consisting of _____ pages, is his last will and testament, and NAME OF THE

TESTATOR, then signed this instrument in our presence, and at NAME OF THE

TESTATOR's request we now sign this will as witnesses in each other's presence.

Further that NAME OF THE TESTATOR, appeared to us to be of sound mind and

lawful age, and under no undue influence.

Witness:

_______________________________________________________________

Address: ______________________________________________________

Witness:

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