Appendix D Self-Proving Affidavit Template printable pdf download

executed and acknowledged such will as the testator’s will

Update for Preparing Your Own Will printed June 2012

and that we, in the testator’s presence, at the testator’s

(date is on the back cover of the booklet).

request, and in the presence of each other, did subscribe our

• The Self-Proving Affidavit below must be used with Iowa

names thereto as attesting witnesses on the date of such will;

wills executed on or after July 1, 2013.

and that the witnesses were sixteen years of age or older.

• It replaces the Self-Proving Affidavit on page 21 of

Preparing Your Own Will printed June 2012.

• The requirement to use the new Self-Proving Affidavit

______________________________

does NOT apply to Iowa wills signed before July 1,

JOAN E. SMITH

2013.

APPENDIX D

SELF-PROVING AFFIDAVIT

_______________________________

WITNESS

STATE OF IOWA

)

ss:)

COUNTY OF__________ )

_______________________________

WITNESS

We, the undersigned, JOAN E. SMITH,

_______________________________________ and

Subscribed, sworn and acknowledged before me by

________________________________________, the

JOAN E. SMITH, the testator; and subscribed and sworn

testator and the witnesses, respectively, whose names are

signed to the attached or foregoing instrument, being first

before me by __________________________________

duly sworn, declare to the undersigned authority that at

and _________________________________________,

the date of the instrument, we all knew the identity of each

witnesses, on this ______ day of ___________________,

other; the instrument was exhibited to the witnesses by the

testator, who declared it to be the testator’s last will and

201__.

testament and was signed by the testator or by another at the

direction of the testator at _______________, in the county

of ______________, State of _____________, on the date

_______________________________

shown in the instrument, and in the presence of each other

Notary Public, or other notarial officer authorized to take

as subscribing witnesses; that we, as witnesses, declare to

and certify acknowledgements and administer oaths

the undersigned authority that in our presence the testator

Appendix D Self-Proving Affidavit Template

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