Last Will And Testament Page 9
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11ATTESTATION
This last will and testament, which has been separately signed by Mary G. Smith, the
testator, was signed, executed and declared by the above named testator as his or her last will
and testament in the presence of each of us. We, in the presence of the testator and each other,
under penalty of perjury, hereby subscribe our names as witnesses to the declaration and
execution of the last will and testament by the testator, and we declare that, to the best of our
knowledge, said testator is eighteen years of age or older, of sound mind and under no constraint
or undue influence.
1. ________________________________
________________________________________
(Signature of witness)
(Print Name)
Date: __________________
________________________________________
(Address)
________________________________________
(City, State, ZIP)
2. ________________________________
________________________________________
(Signature of witness)
(Print Name)
Date: __________________
________________________________________
(Address)
________________________________________
(City, State, ZIP)
Page 9 of my Last Will and Testament
(Signature)
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