Fill and Sign the Waiver Attorney Form

IN THE ___________ COURT OF ____________ (County), ______________ (State) IN THE MATTER OF THE WILL AND ESTATE OF ______________ (Name of Decedent), DECEASED NO. ______,______ Certification of Waiver by Attorney for Surviving Spouse The undersigned certifies that: 1. He is an attorney at law, duly licensed and admitted to practice in ____________ (Name of State) . 2. He has been employed by ______________ (Name of Surviving Spouse) , the surviving spouse of _________________ (Name of Decedent) . 3. He has advised ________________ (Name of Surviving Spouse) with respect to the attached Waiver and explained to her the meaning and legal affect of it. 4. ________________ (Name of Surviving Spouse) has acknowledged her full and complete understanding of this Waiver and its legal consequences, and has freely and voluntarily executed the Waiver in my presence. Respectfully submitted, _________________________________ (Printed Name of Attorney for Surviving Spouse) ______________________________ (Signature of Attorney for Surviving Spouse) State Bar No. _____________ OF COUNSEL: ______________________________ (Name of Attorney for Surviving Spouse) Post Office Box _________________ ______________________________ (City, State, Zip Code) Telephone: _____________________ Certificate of Service This is to certify that I, _______________ (Name of Attorney) , attorney for ___________________ (Name of Surviving Spouse) , the Surviving Spouse of ____________________ (Name of Decedent) , deceased, have this date served a true and correct copy of the above and foregoing Certification of Waiver by Attorney for Surviving Spouse by U.S. Mail, postage fully prepaid, to the following: ______________________________ ( Name of Attorney for Executor) __________________________________ (Post Office Box No. or Street Address) ________________________________ (City, State, Zip Code) ____________________________ (Name of Executor) _____________________________________ (Post Office Box No. or Street Address) ________________________________ (City, State, Zip Code) This the ____day of _____________, 20_______. Respectfully Submitted, ________________________ (Printed Name of Attorney) ________________________ (Signature of Attorney) Attorney for Surviving Spouse State Bar No. ____________ OF COUNSEL: ________________________ (Name of Attorney) ________________________________ (Post Office Box or Street Address) _______________________________ (City, State, Zip Code) Telephone: ________________