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I, ____________________________________________, the testator, sign my name to this instrument this
______________ day of _____________, and being first duly sworn, do hereby declare to the undersigned
authority that I sign and execute this instrument as my will and that I sign it willingly (or willingly
direct another to sign for me), that I execute it as my free and voluntary act for the purposes
expressed in the will, and that I am eighteen years of age or older, of sound mind, and under no
constraint or undue influence.
_________________________________________
Testator
We, ________________________________________________, ________________________________________________,
the witnesses, sign our names to this instrument, being first duly sworn, and do hereby declare to
the undersigned authority that the testator signs and executes this instrument as the testator's will
and that the testator signs it willingly (or willingly directs another to sign for the testator), and that
each of us, in the presence and hearing of the testator, hereby signs this will as witness to the
testator's signing, and that to the best of our knowledge the testator is eighteen years of age or
older, of sound mind, and under no constraint or undue influence.
______________________________ Witness
______________________________ Witness
State of __________
________________________ Judicial District
Subscribed, sworn to, and acknowledged before me by _________________________________________________________,
the testator, and subscribed and sworn to before me by ________________________, and ________________________, witness, this
________ day of ________.
(Seal)
______________________________ (Signed)
______________________________ (Official capacity of officer)
State of __________
________________________ Judicial District
We, ________________________________________________, ________________________________________________,
and __________, the testator and the witnesses, respectively, whose names
are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the
undersigned authority that the testator signed and executed the instrument as the testator's will and
that the testator had signed willingly (or willingly directed another to sign for the testator), and
that the testator executed it as the testator's free and voluntary act for the purposes expressed in
the will, and that each of the witnesses, in the presence and hearing of the testator, signed the will
as witness and that to the best of the witnesses' knowledge the testator was at that time eighteen
years of age or older, of sound mind, and under no constraint or undue influence.
______________________________ Testator
______________________________ Witness
______________________________ Witness
Subscribed, sworn to and acknowledged before me by ________________________________________ ,
the testator, and subscribed and sworn to before me by __________, and ________, witnesses, this
________ day of ________.
(Seal)
______________________________ (Signed)
______________________________ (Official capacity of officer)
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