Acknowledgment
Commonwealth of Pennsylvania (or State of ______________) County of ______________
I, ____________________, the testator whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; and that I signed it willingly and as my free and voluntary act for the purposes therein expressed.
Sworn to or affirmed and acknowledged before me by ____________, the testator, this ________ day of __________, 19______.
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(Testator)
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(Signature of officer or attorney)
(Seal and official capacity of officer or state of admission of attorney)
Affidavit
Commonwealth of Pennsylvania (or State of ______________) County of ______________
We (or I), ______________ and ____, the witness(es) whose name(s) are (is) signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were (I was) present and saw the testator sign and execute the instrument as his Last Will; that the testator signed willingly and executed it as his free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the testator signed the will as a witness; and that to the best of our (my) knowledge the testator was at that time 18 or more years of age, of sound mind and under no constraint or undue influence.
Sworn to or affirmed and subscribed to before me by ____________________ and ____________________, witness(es), this ________ day of __________, 19______.
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Witness
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Witness
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_______________________________________________________________
(Signature of officer or attorney)
(Seal and official capacity of officer or state of admission of attorney)
Commonwealth of Pennsylvania (or State of __________) County of __________
On this, the __________ day of __________, 19______, before me , the undersigned officer, personally appeared __________, known to me or satisfactorily proven to be a member of the bar of the highest court of (Pennsylvania or the state in which execution of the will took place), and certified that he was personally present when the foregoing acknowledgment and affidavit were signed by the testator and witnesses.
In witness whereof, I hereunto set my hand and official seal.
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(Signature, seal and official capacity of officer)
20 Pa.C.S. § 3132.1