OKLAHOMA WILL INSTRUCTIONS
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.
2. 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 person you reside with.
Fields [5] – [10] are omitted.
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 [11] - Type name.
Field [12] - Type street address.
Field [13] - Additional Address line.
Field [14] - City, State, Zip.
Field [15] - Relationship.
Field [16] - Describe the property to go to this person.
Field [17] - Type name.
Field [18] - Type street address.
Field [19] - Additional Address line.
Field [20] - City, State, Zip.
Field [21] - Relationship.
Field [22] - Describe the property
Field [23] - Type name.
Field [24] - Type street address.
Field [25] - Additional Address line.
Field [26] - City, State, Zip.
Field [27] - Relationship.
Field [28] - Describe the property
Article FourThis article is for you to leave your homestead, if you have one on the
date of death to persons designated.
Field [29] - Type name of person to receive homestead.
Field [30] - Check this box if heirs are selected.
NOTE: If you do not name a person in field 29 and you desire to name a
person or persons other than your heirs at law you may delete “heirs at law” and name
the person or person(s) to receive your property.
Note: If your home is jointly owned with another and held as joint tenants
with rights of survivorship, the home will pass to the survivor and will not be controlled
by your will. If this is the case, name the joint tenant in field 29.
Article FiveThis 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 [31] - Type name of person to receive all other property.
Field [32] - Check this box if heirs are selected.
NOTE: If you do not name a person in field 31 and you desire to name a person
or persons other than your heirs at law you may delete “heirs at law” and name the
person or person(s) to receive your property. If you name a person in field 31 you may
also change “heirs at law” in that section to person(s) you designate.
Article SixThis article is for you to name your personal representative. This must be
an adult and can be the person with whom you live.
Field [34] - Type name of Personal Representative.
Field [35] - Type name of successor Personal Representative.
Article Eleven All parts of Article 11 are optional. Complete as desired. Be sure to write
your initials for any of these items you desire to apply.
Field [36] - Type name of Cemetery.
Field [37] - Type County.
Field [38] - Type State.
Ending and SignatureField [39] - Your name.
Field [40] - Your name.
Field [41] - Your name.
Field [42] - Your name.
Field [43] - Your name.
Field [44] - 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.
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 optional but recommended. It 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 present 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.
This package contains two wills, one for the man and one for the woman to
complete. They are the same. Use the instructions above to complete both.
For additional information, see the Law Summary and Information and Preview
links in the search results for this form. A Definitions section is linked on the Information
and Preview page.
Signature: _____________________________- 1 -
LAST WILL AND TESTAMENT OF
_________________[1]__________________
BE IT KNOWN THIS DAY THAT,
I, ____________[2]_________________, of _______[3]___________ County, Oklahoma, 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 not married. I reside with _____________[4]________________. I am a parent of no
children.
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
[11] [12]
[13]
[14] [15]
Property: [16]
Name Address Relationship
[17] [18]
[19]
[20] [21]
Property: [22]
Name Address Relationship
Signature: _____________________________- 2 -
[23] [24]
[25]
[26] [27]
Property: [28]
[LIST OR STATE NO PROPERTY LEFT UNDER THIS ARTICLE]
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:
(select and complete only one)
_____________[29]________________.
OR
_____________[30]________________, my heirs at law.
If the person or persons, 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:
(select and complete only one)
_____________[31]________________. In the event that
_____________[31]________________ predeceases me, I leave all my property to my heirs at
law.
OR
my heirs at law.
ARTICLE SIX
Appointment of Personal Representative, Executor or Executrix
I hereby appoint _____________[34]________________, 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 hereby appoint
______________[35]_______________ to serve as successor Personal Representative of my
estate and Will.
Signature: _____________________________- 3 -
The term “Personal Representative”, as used in this Will, shall be deemed to mean and include
“Personal Representative”, “Executor” or “Executrix”.
ARTICLE SEVEN
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 EIGHT
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
Oklahoma and to the extent not prohibited by the laws of Oklahoma, 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 Oklahoma.
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 title holder 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 by my
Personal Representative, all without court approval.
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
Signature: _____________________________- 4 -
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 therefor 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.
ARTICLE NINE
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
Signature: _____________________________- 5 -
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.
ARTICLE TEN
Misc. Provisions
I direct that this Will and the construction thereof shall be governed by the Laws of the State of
Oklahoma.
(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 _______[36]___________ cemetery in
_______[37]___________ County, ____________[38]_________________.
_________ I direct that my remains be cremated and that the ashes be disposed of according to
the wishes of my Executor. I, ____________[39]_________________, having signed this Will in the presence of
_____________________________ and ________________________________ who attested
it at my request on this the _____ day of _____________, 20_____ at
____________________________________________________________(address), declare
this to be my Last Will and Testament.
________________________________
Testator/Testatrix
The above and foregoing Will of ___________[40]__________________ (name of
testator/testatrix) was declared by ___________[41]__________________ (name of
testator/testatrix) in our view and presence to be his/her Will and was signed and subscribed by
the said ____________[42]_________________ (name of testator/testatrix) in our view and
presence and at his/her request and in the view and presence of
_____________[43]_____________ (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
____________[44]_________________ (name of testator/testatrix)on this the _____day of
Signature: _____________________________- 6 -
___________________, 20__.
_____________________________________ __________________________________________
Witness Signature Witness Signature
Print Name: ______________________________ Print Name: _________________________________
Address: ________________________________ Address: ___________________________________
________________________________________ __________________________________________
Telephone No. ___________________________ Telephone No. ______________________________
Oklahoma Self-Proving Affidavit - 1 -
THE STATE OF OKLAHOMA
COUNTY OF ______________Before me, the undersigned authority, on this day personally appeared
_________________________________, ________________________________, and
_________________________________, known to me to be the testator/testatrix and the
witnesses, respectively, whose names are subscribed to the annexed or foregoing instrument in
their respective capacities, and, all of said persons being by me first duly sworn, said
_________________________________, testator/testatrix, declared to me and to the said
witnesses in my presence that said instrument is his or her last will and testament, and that he
or she had willingly made and executed it as his free and voluntary act and deed for the
purposes therein expressed; and the said witnesses, each on his or her oath stated to me, in
the presence and hearing of the said testator/testatrix, that the said testator/testatrix had
declared to them that said instrument is his or her last will and testament, and that he executed
same as such and wanted each of them to sign it as a witness; and upon their oaths each
witness stated further that they did sign the same as witnesses in the presence of the said
testator/testatrix and at his request and that said testator/testatrix was at that time eighteen (18)
years of age or over and was of sound mind.
____________________________Testator/Testatrix
Typed Name: ____________________________
____________________________ Witness
____________________________ Name and Residence (printed)
____________________________ Witness
____________________________
Name and Residence (printed)
Subscribed and acknowledged before me by the said ___________________________,
Testator/Testatrix, and subscribed and sworn before me by the said
____________________________________ and ______________________________
witnesses, this _______ day of __________________, 20___ A.D., _______.
(SEAL) (SIGNED)__________________________ __________________________________(OFFICIAL CAPACITY OF OFFICER)
Signature: __________________________- 1 -
LAST WILL AND TESTAMENT OF
_________________[1]__________________
BE IT KNOWN THIS DAY THAT,
I, ____________[2]_________________, of _______[3]___________ County, Oklahoma, 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 not married. I reside with _____________[4]________________. I am a parent of no
children.
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
[11] [12]
[13]
[14] [15]
Property: [16]
Name Address Relationship
[17] [18]
[19]
[20] [21]
Property: [22]
Signature: __________________________- 2 -
Name Address Relationship
[23] [24]
[25]
[26] [27]
Property: [28]
[LIST OR STATE NO PROPERTY LEFT UNDER THIS ARTICLE]
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:
(select and complete only one)
_____________[29]________________.
OR
_____________[30]________________, my heirs at law.
If the person or persons, 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:
(select and complete only one)
_____________[31]________________. In the event that
_____________[31]________________ predeceases me, I leave all my property to my heirs at
law.
OR
my heirs at law.
ARTICLE SIX
Appointment of Personal Representative, Executor or Executrix
I hereby appoint _____________[34]________________, 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 hereby appoint
______________[35]_______________ to serve as successor Personal Representative of my
Signature: __________________________- 3 -
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 SEVEN
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 EIGHT
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
Oklahoma and to the extent not prohibited by the laws of Oklahoma, 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 Oklahoma.
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 title holder 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 by my
Personal Representative, all without court approval.
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
Signature: __________________________- 4 -
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 therefor 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.
ARTICLE NINE
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.
Signature: __________________________- 5 -
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.
ARTICLE TEN
Misc. Provisions
I direct that this Will and the construction thereof shall be governed by the Laws of the State of
Oklahoma.
(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 _______[36]___________ cemetery in
_______[37]___________ County, ____________[38]_________________.
_________ I direct that my remains be cremated and that the ashes be disposed of according to
the wishes of my Executor. I, ____________[39]_________________, having signed this Will in the presence of
_____________________________ and ________________________________ who attested
it at my request on this the _____ day of _____________, 20_____ at
____________________________________________________________(address), declare
this to be my Last Will and Testament.
________________________________
Testator/Testatrix
The above and foregoing Will of ___________[40]__________________ (name of
testator/testatrix) was declared by ___________[41]__________________ (name of
testator/testatrix) in our view and presence to be his/her Will and was signed and subscribed by
the said ____________[42]_________________ (name of testator/testatrix) in our view and
presence and at his/her request and in the view and presence of
_____________[43]_____________ (name of testator/testatrix) and in the view and presence of
Signature: __________________________- 6 -
each other, we, the undersigned, witnessed and attested the due execution of the Will of
____________[44]_________________ (name of testator/testatrix)on this the _____day of
___________________, 20__.
_____________________________________ __________________________________________
Witness Signature Witness Signature
Print Name: ______________________________ Print Name: _________________________________
Address: ________________________________ Address: ___________________________________
________________________________________ __________________________________________
Telephone No. ___________________________ Telephone No. ______________________________
Oklahoma Self-Proving Affidavit
THE STATE OF OKLAHOMA
COUNTY OF ______________Before me, the undersigned authority, on this day personally appeared
_________________________________, ________________________________, and
_________________________________, known to me to be the testator/testatrix and the
witnesses, respectively, whose names are subscribed to the annexed or foregoing instrument in
their respective capacities, and, all of said persons being by me first duly sworn, said
_________________________________, testator/testatrix, declared to me and to the said
witnesses in my presence that said instrument is his or her last will and testament, and that he
or she had willingly made and executed it as his free and voluntary act and deed for the
purposes therein expressed; and the said witnesses, each on his or her oath stated to me, in
the presence and hearing of the said testator/testatrix, that the said testator/testatrix had
declared to them that said instrument is his or her last will and testament, and that he executed
same as such and wanted each of them to sign it as a witness; and upon their oaths each
witness stated further that they did sign the same as witnesses in the presence of the said
testator/testatrix and at his request and that said testator/testatrix was at that time eighteen (18)
years of age or over and was of sound mind.
____________________________Testator/Testatrix
Typed Name: ____________________________
____________________________ Witness
____________________________ Name and Residence (printed)
____________________________ Witness
____________________________
Name and Residence (printed)
Subscribed and acknowledged before me by the said ___________________________,
Testator/Testatrix, and subscribed and sworn before me by the said
____________________________________ and ______________________________
witnesses, this _______ day of __________________, 20___ A.D., _______.
(SEAL) (SIGNED)__________________________ __________________________________(OFFICIAL CAPACITY OF OFFICER)
