Last Will And Testament Page 5

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this instrument as my last will and that I sign it willingly (or willingly direct another to sign for me),
that I execute it as my free and voluntary act for the purposes therein expressed, and that I am eighteen
years of age or older, of sound mind, and under no constraint or undue influence.
_______________________________________
Testator
We,________________________, __________________________ and _______________________,
the witnesses, sign our names to this instrument, do hereby swear or affirm to the undersigned
authority that the Testator signs and executes this instrument as his Last Will and that he signs it
willingly (or willingly directs another to sign for him), and that each of us, in the presence and hearing
of the Testator hereby signs this Will as witnesses to the Testator's signing, and to the best of our
knowledge the Testator is eighteen years of age or older, of sound mind, and under no constraint or
undue influence.
WITNESSES: ________________________________
________________________________
________________________________
_______________________(State)
________________ County
Subscribed, sworn or affirmed and acknowledged before me by ________________________, the
Testator, and subscribed and sworn or affirmed before me by _________________________,
________________________ and _____________________________, the Witnesses, this the ___
day of _____, 20____.
My Commission Expires: _________________
______________________________________
Notary Public

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