NEBRASKA WILL INSTRUCTIONS
Married with Adult & Minor Children
U.S. Legal Forms, Inc.
http://www.uslegalforms.com
1. This Will is designed to be completed on your computer. To do so, use
your mouse and click on each field which will be highlighted in gray. This will replace
the gray with the words you type.
Example: _____________________________[1] will become JOHN DOE.
If you ordered and received this Will in hard copy, you may also use these instructions
to complete the will, leaving the reference numbers, and placing the names, etc you
desire next to the field numbers.
2. The Will contains Articles which cover various matters. The information
below is designed to assist you in completing the fields contained in the articles of the
Will.
3. Article / Field Completion Instructions
Field [1] - Your name.
Field [2] - Your name.
Field [3] - Your County of Residence.
ARTICLE ONE
Field [4] - Type the name of your spouse.
Fields [5] – [12] Type the name of your children.
ARTICLE THREE
This article is for you to specify specific property to go to a specific person. If you
do not leave any, type none and delete the fields.
Field [13] - Type name.
Field [14] - Type Street address.
Field [15] - Additional Address line.
Field [16] - City, State, Zip.
Field [17] - Relationship.
Field [18] - Describe the property to go to this person.
Field [19] - Type name.
Field [20] - Type Street address.
Field [21] - Additional Address line.
Field [22] - City, State, Zip.
Field [23] - Relationship.
Field [24] - Describe the property.
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Field [25] - Type name.
Field [26] - Type Street address.
Field [27] - Additional Address line.
Field [28] - City, State, Zip.
Field [29] - Relationship.
Field [30] - Describe the property.
ARTICLE FOUR
This article is for you to leave your homestead, if you have one on the date of
death to persons designated.
Field [31] - Type the name of your spouse.
ARTICLE FIVE
This article is for you to leave all the rest and remainder of your property except
your homestead and any special items you listed in Article Three.
Field [32] - Type the name of your spouse.
ARTICLE SIX
This article is to provide an alternate distribution of the rest and remainder of
your property should your spouse predecease you and the provisions for distribution
contained in Article Five cannot be carried out.
Field [33] Type the name(s) of your child (ren).
Fields [34]-[36] Omitted.
ARTICLE SEVEN
This article provides for the establishment of a trust for the benefit of minor
beneficiaries.
Fields [37] Enter the age below which you desire that
minor beneficiaries property be placed in trust.
Fields [38-41] Enter age at which property may be released from
trust.
ARTICLE NINE
This article provides for the appointment of a Trustee and Successor Trustee.
Field [42] Type the name of the Trustee.
Field [43] Type the name of the Successor Trustee.
ARTICLE TEN
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This article provides for the appointment of a guardian of minor children
Field [44] Type the name of your spouse.
Field [45] Enter the age below which you desire a
guardian be appointed for your children.
Field [46] Type the name of the guardian.
ARTICLE ELEVEN
This article is for you to name your personal representative. This must be an
adult and can be your spouse.
Field [47] - Type name of Personal Representative.
Field [48] - Type name of successor Personal Representative.
ARTICLE FOURTEEN
This article provides instructions relating to the interpretation of your will.
Field [49] - Type the name of your spouse. This clause is a
common disaster clause and provides whose Will will
control if you both die in a common disaster.
ARTICLE FIFTEEN
All parts of Article 15 are optional. Complete as desired. Be sure to write your
initials for any of these items you desire to apply.
Field [50] - Type name of Cemetery.
Field [51] - Type County.
Field [52] - Type State.
ENDING AND SIGNATURE
Field [53] - Type your name.
Fields [54]-[55]-- Type names of witnesses.
Field [56] - Type address where Will was witnessed.
Field [57] - Type your name.
Field [58] - Type your name.
Field [59] - Type your name.
Field [60] - Type your name.
Field [61] - Type your name.
Field [62] - Type your name.
All other blanks in the Will are typically completed by hand, such as the names of
the witnesses, day, month and year executed, etc.
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Once you have completed the Will, double-check all entries and then print. The
Will should be signed by you in front of two witnesses, not related to you. Please sign
all pages of the Will in the places designated.
The self-proving affidavit is used to prove the Will and make the Will subject to
probate. If the affidavit is not completed now, someone will have to locate the
witnesses after your death and obtain an affidavit. Therefore, it is best to sign the Will
in the presence of two witnesses AND a notary public so that the affidavit can be
completed by the Notary.
You should keep your Will in a safe place once executed. It is also
recommended that you give a copy to your executor or other person as additional proof
of execution.
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ADDITIONAL INFORMATION ABOUT YOUR WILL FORM
This section will briefly explain some of the articles of your will and provide other information.
Articles of the Will, which are basically self-explanatory, are not discussed here. In addition, information,
which is already provided in the instructions above, is not repeated.
First Paragraph: The first paragraph of the Will provides your name, residence information
and provides that all prior Wills, if any, are revoked since you have now made a new Will.
Article Three: Some people have specific property that they desire to leave to a specific
person, such as a ring or antique. This Article is for you to leave such property. You do not have to
name specific property and may simply state none if no property is to be left under this Article.
Article Eleven: This Article is for you to name a personal representative, also called executor or
executrix. The person named should be an adult and may be your spouse or relative.
Article Twelve: If not waived, some Courts will require your Personal Representative post a
bond, and file an inventory, accounting and/or appraisal. All can be costly and time consuming. This
Article states your intention that your Personal Representative not be required to post a bond or file an
inventory or accounting.
Article Thirteen: This Article sets forth powers of your Personal Representative and is
designed to give broad powers without the requirement that Court approval be sought for action by the
Representative to the extent permitted by the laws of your State.
Article Fourteen: This article sets forth some legal construction intentions to clarify some
of the issues which may arise. It also contains a common disaster clause, which provides that if you, and
your spouse die in a common disaster, your Will is to have precedence. In cases where you and your
wife are making Wills, you would only include this paragraph in one Will, or state in both which Will is to
control.
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BASIC INFORMATION
What is a Will? A Will is a document
which provides who is to receive your
property at death, who will administer your
estate, the appointment of trustees and
guardians, if applicable, and other
provisions.
Who may make a Will? Generally, any
person 18 years or older of sound mind
may make a Will. (Some states allow
persons under 18 to make a Will)
What happens if I die without a Will? If
you die without a Will, you are an intestate.
In such a case, state laws govern who
receives your property. These laws are
called "intestate succession laws". If you
die without a Will, the Court decides who
will administer your estate. Generally, it is
more expensive to administer an estate of
a person who died without a Will, than a
person who dies with a Will.
General
When making a Will you need to consider
who will be named as your personal
representative or executor to administer
your estate, who you will name as guardian
and trustee of minor children if your spouse
does not survive you and who will receive
your property. You should also consider
tax issues. The person appointed as
executor or administrator is often your
spouse, but you should also name an
alternate, in case your spouse
predeceases you. The person you name
should be a person you can trust and who
will get along with the beneficiaries named
in the Will.
In the event your spouse predeceases you,
the guardian you name will have actual
custody of your minor children unless a
court appoints someone else. The trustee
you appoint to administer a trust you
established will be in charge of the assets
of the trust for the benefit of the minor
beneficiaries.
Generally, a Will must be signed in the
presence of at least two witnesses (three
for Vermont) who also sign the Will. A
notary public will also need to sign if the
Will contains a self-proving affidavit.
Generally, a self-proving affidavit allows
the Will to be admitted to probate without other evidence of execution.
Joint Property: Many people do not
understand that joint property may pass
outside your Will and also sometimes
assume that it will pass through their Will.
They do not understand the significance of
joint ownership. The issue is common in
the following areas, provided as examples:
(a) Real Estate: Often, a husband
and wife will own real estate as joint
tenants with rights of survivorship. If one
party dies, the surviving party receives the
property regardless of what the Will
provides. This is common and generally
acceptable. However, if this is not your
desire you should change the ownership of
the property to tenants in common or other
form of ownership. If you own real estate
as tenants in common, then you may
designate who will receive your share of
the property at your death. This issue can
be a problem when uninformed persons
take title to real estate as joint tenants with
rights of survivorship but really intended to
leave their share to, for example, children
of a prior marriage.
(b) Bank Accounts/Certificates of
Deposit, Stock, Retirement Plans,
IRA’s and other type Property:
The same ownership as real estate can
be made of these investments. In fact,
many Banks routinely place Bank
accounts and Certificates of Deposit in
the joint tenant with right of survivorship
form of ownership if more than one
person is on the account or CD, without
advising you of the consequence of same.
In situations where the persons are
husband and wife and there is no issue or
concern over divorce or children from
previous marriages, this may be the best
course of action. However, with divorce
on the rise, premarital agreements and
multiple marriages being common, the
parties may be doing something that was
not their intent. Another common
problematic situation is where a parent
has more than one child but only one child
resides in the hometown of the parent.
The parent may place the name of the
child who resides there on all accounts,
CD’s and other investments for
convenience reasons and establish a joint
tenant with right of survivorship situation
without realizing that only that child will be
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entitled to those assets at the parent’s
death. Simply put, you should be aware
when you acquire an asset or investment
exactly how it is titled.
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For additional information, see the Law Summary and Information and Preview links in
the search results for this form. A Definitions section is also linked on the Information
and Preview page.
DISCLAIMER/LICENSE/LIABILITY LIMITATION
All forms in this package are provided without any warranty, express or implied, as
to their legal efect and completeness. Please use at your own risk. If you have a
serious legal problem, we suggest that you consult an attorney. U.S. Legal Forms,
Inc. does not provide legal advice. The products ofered by U.S. Legal Forms (USLF)
are not a substitute for the advice of an attorney.
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LAST WILL AND TESTAMENT OF
___________________________________[1]
BE IT KNOWN THIS DAY THAT,
I, _____________________________[2] , of
__________________[3] County, Nebraska, being of legal age and of
sound and disposing mind and memory, and not acting under duress,
menace, fraud, or undue influence of any person, do make, declare and
publish this to be my Will and hereby revoke any Will or Codicil I may
have made.
ARTICLE ONE
Marriage and Children
I am married to _____________________________[4] and have
the following children from said marriage:
Name: _____________________________[5] Date of Birth:
__________________[6]
Name: _____________________________[7] Date of Birth:
__________________[8]
Name: _____________________________[9] Date of Birth:
_________________[10]
Name: ____________________________[11] Date of Birth:
_________________[12]
ARTICLE TWO
Debts and Expenses
I direct my Personal Representative to pay all costs and expenses
of my last illness and funeral expenses. I further direct my Personal
Representative to pay all of my just debts that may be probated,
registered and allowed against my estate. However, this provision shall
not extend the statute of limitations for the payment of debts, or enlarge
upon my legal obligation or any statutory duty of my Personal
Representative to pay debts.
ARTICLE THREE
Specific Bequests of Real and/or Personal Property
I will, give and bequeath unto the persons named below, if he or
she survives me, the Property described below:
Name Address Relationship
[13] [14]
[15]
[16] [17]
Property: [18]
Name Address Relationship
[19] [20]
[21]
[22] [23]
Signed by Testator/Testatrix: __________________________________ - 9 -
Property: [24]
Name Address Relationship
[25] [26
[27]
[28] [29]
Property: [30]
In the event I name a person in this Article and said person
predeceases me, the bequest to such person shall lapse and the
property shall pass under the other provisions of this Will. In the event
that I do not possess or own any property listed above on the date of my
death, the bequest of that property shall lapse.
ARTICLE FOUR
Homestead or Primary Residence
I will, devise and bequeath all my interest in my homestead or
primary residence, if I own a homestead or primary residence on the date
of my death that passes through this Will, to my spouse,
_____________________________[31] , if he or she survives me. If he
or she does not survive me, then my homestead or primary residence
shall pass under the residuary clause of this Will.
ARTICLE FIVE
All Remaining Property – Residuary Clause
I will, devise, bequeath and give all the rest and remainder of my
property and estate of every kind and character, including, but not limited
to, real and personal property in which I may have an interest at the date
of my death and which is not otherwise effectively disposed of, to my
spouse, _____________________________[32] .
ARTICLE SIX
Contingent - All Remaining Property – Residuary Clause
In the event that my spouse shall predecease me, I will, devise,
bequeath and give all the rest and remainder of my property and estate
of every kind and character, including, but not limited to, real and
personal property in which I may have an interest at the date of my death
and which is not otherwise effectively disposed of (“Residuary Estate”), to
my child (ren)
_______________________________________________________[33]
. If one of my children shall predecease me, then the equal share set
apart for that deceased child shall instead be distributed to his or her
descendants, per stirpes. If one of my children shall predecease me
leaving no descendants surviving, then the equal share set apart for that
deceased child shall instead be distributed to my other child, or if that
child has also predeceased me, then to his or her descendants, per
stirpes.
ARTICLE SEVEN
Property To Vest In Trustee for Child Beneficiary
In the event that my spouse predeceases me as provided in Article
Signed by Testator/Testatrix: __________________________________ - 10 -
Six, and any of my children are under the age of
__________________[37] years of age, then I direct that my Personal
Representative shall transfer, assign and deliver over to my Trustee,
named below, such beneficiary’s share of my estate and the objects of
property described herein. I direct my Trustee to hold said Beneficiaries
share of my estate on the following terms and conditions:
A.
The Trustee shall hold and administer the assets of the Trust for
the use and benefit of the Beneficiaries for the purpose of providing for
their health, education and general welfare in accordance with their
accustomed standard of living as much as is possible, considering the
value of the Trust property and their other sources of income.
B.
The Trustee, may in his or her discretion, distribute to or for the
benefit of the named Beneficiaries, such portions of the income and
principal of the Trust as he or she in his or her sole discretion shall
determine to be necessary to accomplish the purposes of this Trust. The
Trustee may make such distributions as often or as seldom as he or she
may determine in his or her sole discretion without the necessity of any
court authority or approval, this being a private trust.
C.
As each Beneficiary herein reaches the age of
__________________[38] years, the Trustee shall distribute to said
beneficiary his or her share of the trust principal and income as of the
distribution date. When the youngest Beneficiary reaches the age of
__________________[39] years, the Trustee shall distribute all of the
remaining Trust property including principal and accumulated income to
the Beneficiary and this Trust shall terminate. In making said
distributions, the Trustee may make distributions in kind and shall have
the sole discretion as to valuation of the Trust property in determining
and apportioning distributions among the Beneficiaries.
D.
In the event of the death of any of the above named Beneficiary
prior to the final date of distribution, and said deceased Beneficiary shall
leave living issue, the Trustee shall hold only that portion of the Trust
property attributable to said deceased Beneficiary beyond the distribution
dates as provided in Subparagraph C above, and administer said Trust
property for the use and benefit of said living issue. When said youngest
living issue reaches the age of __________________[40] years, the
Trust as to said living issue shall terminate and the Trustee shall
distribute all of the remaining Trust property in equal shares to said living
issue. In the event of the death of any of the above named Beneficiaries
prior to the final date of distribution and said deceased Beneficiaries
leave no living issue, then that portion of the Trust property to be
distributed to the deceased Beneficiaries as provided for in
Subparagraph C above, shall instead be distributed to the surviving
Beneficiaries in equal shares.
Signed by Testator/Testatrix: __________________________________ - 11 -
E.
Personal and real property may be maintained for my Beneficiaries
or converted to cash, as my Trustee shall determine. I direct that my
Trustee administer hereunder any funds coming into the hands of my
Beneficiaries pursuant to any life insurance policy insuring my life.
F.
In the event that on the date of my death, my spouse shall have
predeceased me and my youngest Beneficiary is over
__________________[41] years of age, then this Trust shall be
inoperative and my entire estate shall be distributed to said Beneficiaries
as provided in Article Six.
ARTICLE EIGHT
Creditors of Beneficiaries
Neither the principal nor the income of any Trust provision
contained in this Will nor any part of same shall be liable for the debts of
any Beneficiary hereunder, nor shall the same be subject to seizure by
any Creditor of any Beneficiary, and no Beneficiary therein shall have any
power to sell, assign, transfer, encumber, or in any manner to anticipate
or dispose of his or her interest in the Trust fund, nor any part of same
nor the income produced from said fund nor any part of same.
ARTICLE NINE
Appointment of Trustee
I appoint _____________________________[42] , or if the
appointee fails to qualify or ceases to act, I appoint
_____________________________[43] , as Trustee of the Trust
provisions of this Will to serve in said capacity with all the powers during
the administration of the Trust as are granted to Trustees under
Nebraska law including the power to sell any of the real or personal
property of the Trust for cash or on credit or to mortgage it or to lease it,
all to be exercised without Court order. The Trustee named herein shall
also have all powers as are granted to my Personal Representative under
the provisions of this Will during the administration of this private Trust.
ARTICLE TEN
Appointment of Guardian
In the event that my spouse,
_____________________________[44] , dies without having made just
provision for the care and custody of our children who may be under the
age of __________________[45] years, or in the event my spouse
predeceases me, then on the date of my death, I appoint
_____________________________[46] , as Guardian of said children.
ARTICLE ELEVEN
Appointment of Personal Representative, Executor or Executrix
I hereby appoint _____________________________[47] , as
Personal Representative of my estate and this Will. In the event my
Personal Representative shall predecease me, or, for any reason, shall
fail to qualify or cease to act as my Personal Representative, then I
Signed by Testator/Testatrix: __________________________________ - 12 -
hereby appoint _____________________________[48] to serve as
successor Personal Representative of my estate and Will.
The term “Personal Representative”, as used in this Will, shall be
deemed to mean and include “Personal Representative”, “Executor” or
“Executrix”.
ARTICLE TWELVE
Waiver of Bond, Inventory, Accounting, Reporting and Approval
My Personal Representative and successor Personal
Representative shall serve without any bond, and I hereby waive the
necessity of preparing or filing any inventory, accounting, appraisal,
reporting, approvals or final appraisement of my estate.
ARTICLE THIRTEEN
Powers of Personal Representative, Executor and Executrix
I direct that my Personal Representative shall have broad
discretion in the administration of my Estate, without the necessity of
Court approval. I grant unto my Personal Representative, all powers that
are allowed to be exercised by Personal Representatives by the laws of
the State of Nebraska and to the extent not prohibited by the laws of
Nebraska, the following additional powers:
1. To exercise all of the powers, rights and discretions granted
by virtue of any "Uniform Trustees' Powers Law," and/or “Probate Code”
adopted by the State of Nebraska.
2. To compromise claims and to abandon property, which, in my
Executor’s opinion is of little or no value.
3. To purchase or otherwise acquire and to retain any and all
stocks, bonds, notes or other securities, or shares or interests in
investment trusts and common trust funds, or in any other property, real,
personal or mixed, as my Personal Representative may deem advisable,
whether or not such investments or property be of the character
permissible by fiduciaries, without being liable to any person for such
retention or investment.
4. To settle, adjust, dissolve, windup or continue any
partnership or other entity in which I may own a partnership or equity
interest at the time of my death, subject, however, to the terms of any
partnership or other agreement to which I am a party at the time of my
death. I authorize my Personal Representative to continue in any
partnership or other entity for such periods and upon such terms, as they
shall determine. My Personal Representative shall not be disqualified by
reason of being a partner, equity owner or titleholder in such firm from
participating on behalf of my estate in any dealings herein authorized to
be carried on between my Personal Representative and the partners or
equity owners of any such partnership or other entity.
5. To lease, sale, or offer on a lease purchase, any real or
personal property for such time and upon such terms and conditions in
such manner as may be deemed advisable, all without court approval.
Signed by Testator/Testatrix: __________________________________ - 13 -
6. To sell, exchange, assign, transfer and convey any security
or property, real or personal, held in my estate, or in any trust, at public or
private sale, at such time and price and upon such terms and conditions
(including credit) as my Personal Representative may deem advisable
and for the best interest of my estate, or any trust. I hereby waive any
requirement of issuing summons, giving notice of any hearing, conducting
or holding any such hearing, filing bond or other security, or in any way
obtaining court authority or approval for any such sale, exchange,
assignment, transfer or conveyance of any real or personal property.
7. To pay all necessary expenses of administering the estate
and any trust including taxes, trustees' fees, fees for the services of
accountants, agents and attorneys, and to reimburse said parties for
expenses incurred on behalf of the estate or any trust hereunder.
8. Unless otherwise specifically provided, to make distributions
(including the satisfaction of any pecuniary bequest) in cash or in specific
property, real or personal, or in an undivided interest therein, or partly in
cash and partly in other property, and to do so with or without regard to
the income tax basis of specific property allocated to any beneficiary and
without making pro rata distributions of specific assets.
9. To determine what is principal and what is income with
respect to all receipts and disbursements; to establish and maintain
reserves for depreciation, depletion, obsolescence, taxes, insurance
premiums, and any other purpose deemed necessary and proper by
them and to partite and to distribute property of the estate or trust in kind
or in undivided interests, and to determine the value of such property.
10. To participate in any plan of reorganization, consolidation,
dissolution, redemption, or similar proceedings involving assets
comprising my estate or any trust created hereunder, and to deposit or
withdraw securities under any such proceedings.
11. To perform such acts, to participate in such proceedings and
to exercise such other rights and privileges in respect to any property, as
if she or he were the absolute owner thereof, and in connection therewith
to enter into and execute any and all agreements binding my estate and
any trust created hereunder.
12. To compromise, settle or adjust any claim or demand by or
against my estate, or any trust, to litigate any such claims, including,
without limitation, any claims relating to estate or income taxes, or agree
to rescind or modify any contract or agreement.
13. To borrow money from such source or sources and upon
such terms and conditions, as my Personal Representative shall
determine and to give such security therefore as my Personal
Representative may determine.
All authorities and powers hereinabove granted unto my Personal
Representative shall be exercised from time to time in her or his sole and
absolute discretion and without prior authority or approval of any Court,
and I intend that such powers be construed in the broadest possible
extent.
Signed by Testator/Testatrix: __________________________________ - 14 -
ARTICLE FOURTEEN
Construction Intentions
It is my intent that this Will be interpreted according to the
following provisions:
1. The masculine gender shall be deemed to include the
feminine as well as the neuter, and vice versa, as to each of them; the
singular shall be deemed to include the plural, and vice versa.
2. The term “testator” as used herein is deemed to include
me as Testator or Testatrix.
3. This Will is not a result of a contract between myself and
any beneficiary, fiduciary or third party and I may revoke this Will at any
time.
4. If any part of this Will shall be declared invalid, illegal, or
inoperative for any reason, it is my expressed intent that the remaining
parts shall be effective and fully operative and it is my intent that any
Court so interpreting same construct this Will and any provision in favor of
survival.
5. In the event that my spouse,
_____________________________[49] , and I die under circumstances
where it is difficult to determine who died first, I direct that I be deemed to
have survived her/him and the terms of my Will shall take precedence
over any Will or Codicil that he/she may have made, notwithstanding any
provisions of the law to the contrary.
ARTICLE FIFTEEN
Misc. Provisions
I direct that this Will and the construction thereof shall be
governed by the Laws of the State of Nebraska.
(I have placed my initials next to the provisions below that I desire
to adopt. Unmarked provisions are not adopted by me and are not a
part of this Will)
_______ If any person named herein is indebted to me at the time
of my death and such indebtedness be evidenced by a
valid Promissory Note payable to me, then such person’s
portion of my estate shall be diminished by the amount of
such debt.
_______ Any and all debts of my estate shall first be paid from my
residuary estate. Any debts on any real property left
herein shall be assumed by the person to receive such
real property and not paid by my Personal Representative.
_______ I desire to be buried in the
_____________________________[50] cemetery in
__________________[51] County,
__________________[52] .
Signed by Testator/Testatrix: __________________________________ - 15 -
_______ I direct that my remains be cremated and that the ashes
be disposed of according to the wishes of my Executor.
I, ___________________________________[53] , having signed
this Will in the presence of
___________________________________[54] and
___________________________________[55] who attested it at my
request on this the _____ day of _____________, 20_____ at
___________________________________[56] (address), declare this to
be my Last Will and Testament.
_________________
_______________
_________________
____________[57]
Testator/Testatrix
Signed by Testator/Testatrix: __________________________________ - 16 -
The above and foregoing Will of _____________________________[58]
(name of testator/testatrix) was declared by
_____________________________[59] (name of testator/testatrix) in
our view and presence to be his/her Will and was signed and subscribed
by the said _____________________________[60] (name of
testator/testatrix) in our view and presence and at his/her request and in
the view and presence of _____________________________[61]
(name of testator/testatrix) and in the view and presence of each other,
we, the undersigned, witnessed and attested the due execution of the
Will of _____________________________[62] (name of
testator/testatrix) on this the _____day of ___________________,
20___.
Witness Signature Witness Signature
Print Name: Print Name:
Address: Address:
City, State, Zip: City, State, Zip:
Phone: Phone:
Signed by Testator/Testatrix: __________________________________ - 17 -
Nebraska Self Proving Affidavit
I, ______________________________ the testator/testatrix, sign my name to this
instrument this ________ day of ____________ 20 ________ , and being first duly sworn, do
hereby declare to the undersigned authority that I sign and execute this instrument 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 or am not at this time a minor,
and am of sound mind and under no constraint or undue influence.
_________________________________
Testator/Testatrix
Typed Name: __________________________________\
We, ______________________________ and ______________________________ ,
the witnesses, sign our names to this instrument, being first duly sworn, and do hereby declare
to the undersigned authority that the testator/testatrix signs and executes this instrument as his
or her last will and that he or she signs it willingly, and that he or she executes it as his or her
free and voluntary act for the purposes therein expressed, and that each of us, in the presence
and hearing of the testator/testatrix, hereby signs this will as witness to the testator/testatrix’s
signing, and that to the best of his or her knowledge the testator/testatrix is eighteen years of
age or older or is not at this time a minor, and is of sound mind and under no constraint or
undue influence.
________________________________
Witness
________________________________
Witness
THE STATE OF NEBRASKA
COUNTY OF _______________
Subscribed, sworn to and acknowledged before me by
______________________________ , the testator/testatrix, and subscribed and sworn to
before me by ______________________________ and
______________________________ , witnesses, this ________ day of ____________ ,
20 ________ .
(SEAL)
(Signed) __________________________
__________________________________\
(Official capacity of officer)
Nebraska Self Proving Affidavit Form
