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1580.BLD
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1997-07-22
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#1580
@001 Please state the name of the testator:
~Enter the name of the testator (person making the will.)
@002 Please state the city, state of residence of the testator:
~Enter the city and state where the testator presently resides.
@003 Please state brief burial instructions:
~Enter
@004 Please state name of charity:
~Please enter the name of the charity to receive the estate.
@005 Please state type of charity for alternate beneficiaries:
~In the event that the charity listed does not exist at the time
~of distribution, enter a specific description of the type of
~charity to receive the estate. For example: a charity supporting
~research regarding juvenile diabetes.
@006 Please state the state where executed:
~Enter the state where this last will and testament will be
~executed.
@007 Please state the name of the executor:
~Enter the name of the executor (personal representative).
@008 Please state the name of alternate executor:
~Enter the name of a person to serve in case the the main
~executor does not serve.
@010 Please state the county where executed:
~Enter the name of the county or parish where this last will and
~testament will be signed.
@400/@400 Select the proper pronoun for the testator:
~Select the pronoun to be used for the testator.
his
her
#end control section
#1580
/* Short will -- all to charity Para. 1580*/
LAST WILL AND TESTAMENT OF @001
I.
I, @001, residing at @002, 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:
@003
IV.
I give all the rest and residue of my estate to @004, or its
successors in interest. If there is no successor to @004, then I
direct that my personal representative select a charitable
organization which has as its primary purpose:
@005
V.
I appoint @007, to act as the executor of this will, to
serve without bond. Should @007 be unable or unwilling to serve,
then I appoint @008 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.
_______________________________________
@001
ATTESTATION CLAUSE
On the date above written, @001, well known to us declared to
us, and in our presence, that this instrument,
consisting of _____ pages, is @400 last will and testament, and
@001, then signed this instrument in our presence, and at @001's
request we now sign this will as witnesses in each other's
presence. Further that @001, appeared to us to be of sound mind
and lawful age, and under no undue influence.
Witness:
_______________________________________________________________
Address: ______________________________________________________
Witness:
_______________________________________________________________
Address: ______________________________________________________
Witness:
_______________________________________________________________
Address: ______________________________________________________
STATE OF @006
COUNTY OF @010
Before me, the undersigned authority authorized to take
acknowledgments and administer oaths, personally appeared:
@001
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
who after being having duly sworn or affirmed to tell the truth,
stated:
1. That @001 declared this instrument to be @400 last will and
testament to the witnesses.
2. That @001 signed this instrument in their presence.
3. That the witnesses signed as witnesses in the presence of
@001 and each other.
4. That @001 is well known to the witnesses, and the witnesses
believe @001 to be of lawful age, of sound mind and under no
undue influence or constraint.
______________________________________________________________
Officer
Title of Officer:__________________________________________
My Commission Expires: _________________________