Last Will And Testament Form Page 4

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To the best of our knowledge, the testator is of the age of majority or otherwise legally
empowered to make a will, is mentally competent and under no constraint or undue influence.
We declare under penalty of perjury that the foregoing is true and correct, this _______________
day of ______________, 20_____, at ___________________________________.
Witness #1: ______________________________________________
Residing at: _____________________________________________
Witness #2: ______________________________________________
Residing at: _____________________________________________
Witness #3: ______________________________________________
Residing at: _____________________________________________

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