Last Will And Testament Page 2

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present at the same time, who thereupon, at his request and in his presence and in the presence of each
other, hereunto subscribed our names as witnesses the day and year aforesaid.
_​ S igned​ _ ___________________________Residing at ______________________________________
Print name of ​ ( Witness 1)
___________________________________
_​ S igned​ _ ___________________________Residing at ______________________________________
Print name of ​ ( Witness 2)
____________________________________
STATE OF NEW JEERSEY)
SS:
COUNTY OF MORRIS )
I, ​ ( NAME)​ , the Testator sign my name to this instrument this _____day ________, 2014 and being
first duly ​ ( NAME) ​ s worn, do hereby declare to the undersigned authority that I sign and execute this
instrument as the First Codicil​ (or Second)​ to my Last Will and Testament and that I sign it willingly or
willing 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 18 years of age or older, of sound mind, and under no constraint or
undue influence.
_________________________
(Name)
(Witness 1) ​ a nd ​ ( Witness 2)​ , the witnesses, being first duly sworn, do each hereby declare to the
undersigned authority that the Testator signs and executes this instrument as the First Codicil ​ ( or
Second) ​ t o his Last Will and Testament and that he signs it willingly (or willingly directs another to sign
for his) and that each of us states that in the presence and hearing of the Testator we hereby sign this
First Codicil ​ ( or Second) ​ a s witnesses to the Testator’s signing, and that to the best of our knowledge
the Testator is 18 years or older, of sound mind, and under no constraint or undue influence.
_____________________________
_____________________________
(Witness 1)
(Witness 2)
Subscribed, sworn to and acknowledged before me by ​ ( NAME)​ , the Testator and subscribed and
sworn to before me by ​ ( Witness 1)​ and ​ ( Witness 1)​ , the witnesses, this
_________day of _____________________, 2014.
________________________________
A Notary Public of New Jersey
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