AFFIDAVIT OF EXECUTION OF WILL IN THE MATTER OF THE WILL AND TESTAMENT OF: _________________________________________ I, ___________________________________ , of ____________________________________________________ . MAKE OATH AND SAY: 1. That I know _________________________________ , of __________________________________________________ . 2. That on the ________ day of ________________ , A.D. 19 ______, I was personally present and did see the paper writing thereunto annexed and marked as Exhibit "A" to this my affidavit, executed by the said ________________________________ , as it now appears, as and for his/her last will and testament, by signing his/her name at the foot or end thereof, and that at the time of the execution of the will the testator was of the full age of majority, and, in my opinion, the testator was of sound mind, and understanding at the time of the execution of the will. 3. That the will was so executed by the testator in my presence, and in the presence of ______________________ of __________________ , who were both present at the same time; whereupon the said other witness and your deponent, did, in the presence of the testator, attest and subscribe the will as witnesses. 4. That neither your deponent or the other said witness is a beneficiary, nor the spouse of a beneficiary, named in the will. 5. That no other copy of the will was executed by the testator. SWORN BEFORE ME AT ) _______________________ ) _______________________ ) ________________________________ THIS __________ DAY OF ) _______________ 19 ____ ) _______________________ A Notary Public, etc. ------------------------------------------------------------------------------ NOTES: -this affidavit has many blanks, and I have not noted all of same in the left margin. -use also where the testator signed with a mark or was blind: "That previously to the execution of the will by the testator, the will was read over to the testator by me (or by the person who did so read in your presence), and the testator at that time had a knowledge of its contents and appeared perfectly to understand the will. -use where the will was signed by a third party for and on behalf of the testator at this request, change paragraph #2. to read, in part: "by _________________________ signing the name of the testator to the will at the request of, and in the presence of, the testator, who was physically unable to sign his/her name or make his/her mark." -this affidavit can be used for a codicil, but change the work 'will' to 'codicil" where found. -this affidavit can also be used after the death of the testator, if you change the word "know' in paragraph 1. to "knew'; and also add the word "deceased" at the end of paragraph 1.