Last Will And Testament Page 4

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Signed on this _________________________ day of _____________________ 20__________
at this location:
Address: ______________________________________________________________________
And in the presence of the undersigned witnesses:
Signed: _______________________________________________________________________
As witnesses we do hereby declare that we are of sound mind and of legal age to witness a will
and that to the best of our knowledge the above mentioned creator of this will is also of legal
age to make a will and appears to be of sound mind and signed this will willingly and is free
from any undue influence and or duress. Under the penalty of perjury we declare that these
statements are to be true and correct on this:
________________________ Day of ____________________ 20_______________
At this location:
Address: ______________________________________________________________________
Witness 1:
Name: ________________________________________________________________________
Address: ______________________________________________________________________
Signature: _____________________________________________________________________
Witness 2:
Name: ________________________________________________________________________
Address: ______________________________________________________________________
Signature: _____________________________________________________________________
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