Last Will And Testament Form (Page 4 of 5) in pdf

IN WITNESS WHEREOF, I, _______________________________________

[Name of Testator], hereby set my hand to this last Will, on each page of

which I have placed my initials, on this ________ day of

____________________, 20______ at

_____________________________________________________________,

State of [State].

_______________________________________ [Signature]

_______________________________________ [Printed or typed name of

Testator]

_______________________________________ [Address of Testator, Line 1]

_______________________________________ [Address of Testator, Line 2]

WITNESSES

The foregoing instrument, consisting of ________ pages, including this page,

was signed in our presence by

_______________________________________ [name of Testator] and

declared by _________________ [him or her] to be _________________ [his

or her] last Will. We, at the request and in the presence of

_________________ [him or her] and in the presence of each other, have

subscribed our names below as witnesses. We declare that we are of sound

mind and of the proper age to witness a will, that to the best of our knowledge

the testator is of the age of majority, or is otherwise legally competent to make

a will, and appears of sound mind and under no undue influence or

constraint. Under penalty of perjury, we declare these statements are true

and correct on this ________ day of ____________________, 20______ at

_____________________________________________________________,

State of [State].

_______________________________________ [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,

Last Will And Testament Form Page 4