Last Will And Testament Form Page 4

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gifts under this Will or any codicil but does not include the exercise
of any power of appointment; and the word “Trustee” includes multiple
trustees and any successors, and any successor to the business of any
trustee, whether by reorganization or otherwise.
I,
, the testatrix, sign my name to this instrument on this
day of
, 20
and being first duly sworn, do hereby
declare to the undersigned authority that I sign and execute this in-
strument as my last Will and that I sign it willingly, that I execute it
as my free and voluntary act for the purposes therein expressed, and
that I am eighteen years of age or older, of sound mind, and under no
constraint or undue influence.
Signature
DECLARATION
Under penalty of perjury pursuant to the law of the State of Nevada,
the undersigned
and
, declare that the following
is true of their own knowledge: That they witnessed the execution of
the foregoing will of the testator,
, that the testator sub-
scribed said will and declared it to be his or her last will in their pres-
ence; that they thereafter subscribed the will as witnesses in the pres-
ence of the testator and in the presence of each other and at the request
of said testator; that said testator at the time of the execution of said
will appeared to them to be of full age and of sound mind and memory.
Dated this
day of
, 2013.
Sign
Sign
Print name:
Print name:
Address:
Address:
City, State, Zip
City, State, Zip:
4
Initial:.........

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