LAST WILL AND TESTAMENT OF ________________________________ I. I, _______________, residing at ___________, ________, being of sound mind and in the contemplation of the certainty of death, do hereby declare this instrument to be my last will and testament. II. I hereby revoke all previous wills and codicils. III. I direct that the disposition of my remains be as follows: _____________________________________________________________ IV. I give all the rest and residue of my estate to my children, share and share alike: _______________________________________________________________ If none of my children survive me, I give all the rest and residue of my estate to ________________. If neither _________________ _____ nor ________________, survives me, I give all the rest and residue of my estate to my heirs as determined by the laws of the State of _________, relating to descent and distribution. V. I appoint __________, to act as the executor of this will, to serve without bond. Should __________ be unable or unwilling to serve, then I appoint ____________ to act as the executor of this will. I herewith affix my signature to this will on this the ____________ day of ________________________________, 19___ at ________________________________________, in the presence of the following witnesses, who witnessed and subscribed this will at my request, and in my presence. ATTESTATION CLAUSE On the date above written, _______________, well known to us declared to us, and in our presence, that this instrument, consisting of _____ pages, is their last will and testament, and _______________, then signed this instrument in our presence, and at _______________'s request we now sign this will as witnesses in each other's presence. Further that _______________, appeared to us to be of sound mind and lawful age, and under no undue influence. Witness: ______________________________________________________________ Address: _____________________________________________________ Witness: ______________________________________________________________ Address: _____________________________________________________ Witness: ______________________________________________________________ Address: ______________________________________________________ STATE OF ___________________ COUNTY OF __________________ Before me, the undersigned authority authorized to take acknowledgments and administer oaths, personally appeared: _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ who after being having duly sworn or affirmed to tell the truth, stated: 1. That _______________ declared this instrument to be their last will and testament to the witnesses. 2. That _______________ signed this instrument in their presence. 3. That the witnesses signed as witnesses in the presence of _______________ and each other. 4. That _______________ is well known to the witnesses, and the witnesses believe _______________ to be of lawful age, of sound mind and under no undue influence or constraint. ______________________________________________________________ Officer: Title of Officer: _________________________________________ My Commission Expires: _____________________