III.
PLEASE COMPLETE VERIFICATION.
Pursuant to Section 62-2-901, S.C. Code of Laws, 1976, as amended, the undersigned delivers the Will of the
above referenced decedent and hereby requests that the will be filed as unprobated will.
The undersigned, being sworn, states that the facts set forth in the foregoing statement are true to the best of
the undersigned’s knowledge, information and belief, and hereby submits to the Court’s jurisdiction in this matter.
SWORN to before me this
Signature:
day of
, 20
Name:
Address:
Notary Public for South Carolina
Telephone (O):
My Commission Expires:
(H):
FORM #306PC (06/2010)
Page 4 of 4