Last Will And Testament Form - Arkansas Page 4

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State of Arkansas
County of ________________
We, ___________________________________________________________________,
___________________________________________________________________,
___________________________________________________________________, and
___________________________________________________________________, the testator and the witnesses respectively,
whose names are signed to the attached instrument in those capacities, personally appearing before the undersigned authority and first
being duly sworn, do hereby declare to the undersigned authority under penalty of perjury that the testator declared, signed, and
executed the instrument as his/her last will; he/she signed it willingly or willingly directed another to sign for him/her; he/she executed it
as his/her free and voluntary act for the purposes therein expressed; and each of the witnesses, at the request of the testator, in his or
her hearing and presence, and in the presence of each other, signed the will as witness and that to the best of his or her knowledge the
testator was at that time eighteen (18) years of age or older, of sound mind and under no constraint or undue influence.
_______________________________________ [Signature of Testator]
_______________________________________ [Printed or typed name of Testator]
_______________________________________ [Address of Testator, Line 1]
_______________________________________ [Address of Testator, Line 2]
_______________________________________ [Signature of Witness #1]
_______________________________________ [Printed or typed name of Witness #1]
_______________________________________ [Address of Witness #1, Line 1]
_______________________________________ [Address of Witness #1, Line 2]
_______________________________________ [Signature of Witness #2]
_______________________________________ [Printed or typed name of Witness #2]
_______________________________________ [Address of Witness #2, Line 1]
_______________________________________ [Address of Witness #2, Line 2]
_______________________________________ [Signature of Witness #3]
_______________________________________ [Printed or typed name of Witness #3]
_______________________________________ [Address of Witness #3, Line 1]
_______________________________________ [Address of Witness #3, Line 2]
Subscribed, sworn, and acknowledged before me, ______________________________________________________, a notary public,
by ______________________________________________________, the testator, and by
______________________________________________________,
______________________________________________________, and
______________________________________________________, the witnesses, this ______________ day of
___________________________, 20_____.
[NOTARIAL SEAL]
______________________________________________________
Notary Public's Signature
My Commission Expires: _______________________________

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