10 PROOF OF WITNESS Page 1 of 1
Docket No.: _____________
State of New Jersey
Essex County Surrogate’s Court
Hall of Records, Room 206
ALTURRICK KENNEY
SURROGATE
In the matter of the Estate of:
PROOF OF WITNESS
_____________________________________________, Deceased
AKA: _______________________________________
SS.
I
, ___________________________________________, one of the witnesses to the annexed writing, purporting to be the Last Will of
_______________________________ the testator/rix therein named, deceased, being duly sworn on their oath, says that they saw the
testator/rix sign and seal the said annexed writing and heard them publish, pronounce and declare the same as and for their Last Will
and Testament.
That at the time of the doing thereof, the said testator/rix was of sound and disposing mind, memory and understanding, as far as this
deponent knows and verily believes; that __________________________________________ the other subscribing witness/es thereto,
was /were present at the same time with this deponent when the said Will was signed by the said testator/rix and by them published
and declared as and for their Last Will and Testament as aforesaid; and that the said other witness/es and deponent subscribed their
names to said Will as witnesses in the presence of said testato/rix and each other, at the request of said testator/rix
Signature
S
worn and subscribed before me on:
______/______/______
A Notary Public of the State of ____________________________
My Commission Expires: _____________________
Affix Seal
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