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Text File  |  1993-08-01  |  1KB  |  54 lines
  1. }________________________________
  2.  
  3.  
  4.  
  5.  
  6. Address: ______________________________________________________
  7.  
  8.  
  9. STATE OF __________________
  10.  
  11. COUNTY OF _________________
  12.  
  13.  
  14.      Before me, the undersigned authority authorized to take
  15. acknowledgments and administer oaths, personally appeared:
  16.  
  17. ___________________________
  18.  
  19.  
  20. _______________________________________________________________
  21.  
  22.  
  23. _______________________________________________________________
  24.  
  25.  
  26. _______________________________________________________________
  27.  
  28.  
  29. who after being having duly sworn or affirmed to tell the truth,
  30. stated:
  31.  
  32.  1.  That ___________________________ declared this instrument to
  33. be their last will and testament to the witnesses.
  34.  
  35.  2.  That ___________________________ signed this instrument in
  36. their presence.
  37.  
  38.  3.  That the witnesses signed as witnesses in the presence of
  39. ___________________________ and each other.
  40.  
  41.  4.  That ___________________________ is well known to the
  42. witnesses, and the witnesses believe ___________________________
  43. to be of lawful age, of sound mind and under no undue influence or
  44. constraint.
  45.  
  46.  
  47. ______________________________________________________________
  48. Officer
  49.  
  50. Title of Officer:__________________________________________
  51.  
  52. My Commission Expires: _________________________
  53.                            
  54.