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OATH 4F SUBSCRIBTNG ~~'ITNESS(ES) ~ ~ -
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REGISTER. OF WILLS N -
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~ U, ~'M- ~2L~¢~tJI) COUNTY, PENNSYLVANIA
Estate of e~U,/Z,~ ~ ~L~'~BD,(~/J//C/~ , Deoeased
(Print Name/s)
the~,L~'ill -E?~s} presented herewith, (~k~ being duly qualifie
say(sj that tea/ he y was L~e~a present and saw the above
a11d that ~ / he signed the same and that tee-/ he ~
,) a subscribing witness to
d according to law, depose(s) and
--,' Testatrix sign the same
signed as a witness at the request of
the ~t~„/ Testatrix in her /-mss-_ presence and in the presence of each other.
_x_ __ ~ __ ~ ___
(Sigrtahu e) ~~KL~ ~' ~/r/l~Z.D.S (Signatut-e) "_y"---
(e G'/actaer~ 6~a!
(Su-eet ,4ddress)
~~°1~1~tir1i~s6crr~ (~~ / ~Dr~'
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(City, Slate, Zip)
(Street Address)
(City, Stale, Zip)
Executed in Register's Offzce
Sworn to or affirmed and subscribed
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before me this ._ .~ ~ day
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Deputy for Reoister~~f Wills
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Executed oaet of Register's Office
Sworn to or affirmed and subscribed
before me this day
of
Notary Public
My Commission Expires:
(Signature and Seal of Notary or other off+cia! qualified to
administer oaths. Show date of expiration of Notary's Commission.)
NOTE: To be taken by Ofticer authorized to administer oaths. Please have present the original or copy of instrument(s) at time of notarization.
Form R6V-03 rev. 10.13.06