This Self-Proving Affidavit (the “Affidavit”) is made on [Date] and relates to the Last Will and Testament of:
Testator: [Full Legal Name]
Address (Optional): [Address]
Date of Will: [Date Will Was Signed] (the “Will”)
1. Statement of Testator
1.1 I, [Testator Full Name], declare that I signed (or acknowledged my signature on) the Will on the date stated above.
1.2 I signed the Will willingly, for the purposes stated in the Will, and not under duress or undue influence.
1.3 At the time of signing, I was of legal age to make a will and of sound mind (as required by applicable law).
1.4 I requested the witnesses listed below to witness the signing of my Will.
2. Statement of Witnesses
2.1 We, the undersigned witnesses, declare that:
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The Testator signed the Will (or acknowledged the signature) in our presence.
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We signed the Will as witnesses in the Testator’s presence and in the presence of each other (if required).
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The Testator appeared to be of sound mind and acting voluntarily.
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To the best of our knowledge, we are not disqualified as witnesses under applicable law.
The Testator signed the Will (or acknowledged the signature) in our presence.
We signed the Will as witnesses in the Testator’s presence and in the presence of each other (if required).
The Testator appeared to be of sound mind and acting voluntarily.
To the best of our knowledge, we are not disqualified as witnesses under applicable law.
3.1 Witness 1:
Full Name: [Name]
Address: [Address]
Phone/Email (Optional): [Contact]
3.2 Witness 2:
4. Optional Additional Statements
4.1 ☐ The Will was signed using a self-proving affidavit procedure permitted under the laws of [State].
4.2 ☐ Additional statement(s) required by local law: [Insert].
Signatures
Testator: [Full Name]
Date: [Date]
Signature: ___________________________
Witness 1: [Full Name]
Date: [Date]
Signature: ___________________________
Witness 2: [Full Name]
Date: [Date]
Signature: ___________________________
Notary / Notarization (Required)
State of [State]
County of [County]
On [Date], before me, [Notary Name], personally appeared [Testator Full Name], [Witness 1 Full Name], and [Witness 2 Full Name], known to me (or satisfactorily proven) to be the persons whose names are subscribed to this Affidavit, and acknowledged that they executed it for the purposes stated.
Notary Public Signature: _______________________
My Commission Expires: _______________________
Notary Seal (if applicable): ___________________