Self-proved will.

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An attested will may at the time of its execution or at any subsequent date be made self-proved, by the acknowledgment thereof by the testator and the affidavits of the witnesses, each made before an officer authorized to administer oaths under the laws of this State, and evidenced by the officer's certificate, under official seal, attached or annexed to the will in form and content substantially as follows:

STATE OF

SS

COUNTY OF

Before me, the subscriber, on this day personally appeared, ________________________________ and ________________________________ known to me to be the testator and the witnesses, respectively, whose names are signed to the attached or foregoing instrument and, all of these persons being by me first duly sworn ________________________________ the testator, declared to me and to the witnesses in my presence that the instrument is the testator's last will and that had willingly signed or directed another to sign for the testator, and that the testator executed it as a free and voluntary act for the purposes therein expressed; and each of the witnesses stated to me, in the presence and hearing of the testator, that the witness signed the will as witness and that to the best of the witness' knowledge the testator was eighteen years of age or over, of sound mind and under no constraint or undue influence.

________________________________________________________________________________________________________

________________________________ Testator

________________________________________________________________________________________________________

________________________________ Witness

________________________________________________________________________________________________________

________________________________ Witness

Subscribed, sworn and acknowledged before me by ________________ , the testator, subscribed and sworn before me by ________________ and ________________________ witnesses, this ________________ day of ________________________________ , A.D., ________________________.

(SEAL)

(SIGNED) __________________________________________________________________________________________

________________________________________________________________ (OFFICIAL CAPACITY OF OFFICER)


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