MPC 480 (3/19/12) AFW
AFFIDAVIT OF WITNESS
PURSUANT TO G.L. c. 190B, §§ 2-502, 3-405
Commonwealth of Massachusetts
The Trial Court
Probate and Family Court
Docket No.
Estate of:
Last Name
First Name
Middle Name
Date of Death:
Last Name
I,
First Name
M.I
being duly sworn, do depose and declare that in the presence of
Last Name
M.I
First Name
witnessed the above named Decedent either willingly sign an instrument(s) dated
instrument(s) as and for Decedent's last Will and Testament
or codicil(s)
(date)
or willingly direct another person to sign said instrument(s) in his or her conscious presence, or acknowledged said
and to the best of my knowledge, the
Decedent was 18 years of age or older, of sound mind, and under no constraint or undue influence.
Do not write below this line
for Court use only
SIGNED UNDER THE PENALTIES OF PERJURY
I certify under the penalties of perjury that the foregoing statements are true to the best of my knowledge and belief.
Signature of Witness
Date
Subscribed and sworn to this date
Justice-Assistant-Judicial Case Manager-Assistant Register-Magistrate
of the Probate and Family Court
(date)
.
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