12 PROOF OF WITNSS OTHER THAN SUBSR WITNESS Page 1
of 1
Docket No.: ______________
State of New Jersey
Essex County Surrogate’s Court
ALTURRICK KENNEY
SURROGATE
Hall of Records, Room 206
DEPUTY SURROGATE
In the matter of the alleged Will of:
}
OTHER THAN SUBSCRIBING
WITNESS
PURSUANT TO N.J.S. 3B:3-19
________________________________________________, Deceased
AKA: __________________________________________
The
undersigned ____________________ was one of the persons present when the testator/rix, ____________________,
signed the annexed writing which is purported to be the Last Will and Testament and/or Codicil of __________________,
the testator/rix. The undersigned _________________________ further states that the execution was also in the presence
of the subscribing witnesses.
Tha
t at the time of the doing thereof the testator/rix was of sound and disposing mind, memory and understanding as far
as this deponent knows and verily believes; that _________________________ and _________________________, the
subscribing witnesses were present at the same time with this deponent when said Will was signed by the testator/rix and
by them published and declared as for their Last Will and Testament and/or Codicil, and that the said witnesses subscribed
their names to said Will and/or Codicil as witnesses in the presence of said testator/rix and of each other and at the request
of the testator/rix and said deponent also being present having knowledge of the facts relating to the proper execution of
the Will and/or Codicil by the testator/rix and its attestation by the witnesses.
Signature
Sw
orn and subscribed before me on:
______/______/______
A Notary Public of the State of ____________________________
My
Commission Expires: _____________________
Affix Seal
click to sign
signature
click to edit
![]()
