Form RW-03 rev. 1.1.20
OATH OF SUBSCRIBING WITNESS(ES)
REGISTER OF WILLS
Estate of
, Deceased
, (each) a subscribing witness to
(Print Name/s)
the Will Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s)
and say(s) that she / he / they was / were present and saw the above Testator / Testatrix
sign the same and that she / he / they signed the same and that she / he / they signed as
a witness at the request of the Testator /
Testatrix in her / his presence and in the presence
of each other.
(Signature)
(Signature)
(Street Address) (Street Address)
(City, State, Zip)
Executed out of Register’s Office
Commonwealth of Pennsylvania
County of
Sworn to or affirmed and subscribed
day
(City, State, Zip)
Executed in Register’s Office
Sworn to or affirmed and subscribed
before me this
day
of
, .
before me this
of
,
.
Deputy for Register of Wills
Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary’s
Commission.)
NOTE: To be taken by Officer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization.
)
) SS:
)
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