HomeMy WebLinkAbout01-20-12r ~ ~ I ~ __ (J ~.
OATH OF SUBSCR~BI~1G WITNESS(ES)
/REGISTER OF WILLS
-~fl~~l~~~r;~1 COUNTY, PENNSYLVANL~
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Estate. of ~U (~~(~.
Deceased
'~' -~'/~" , (eae#) a subscribing witness to
-_~ (Print Nan:e/s)
the ~d ~1Vill ^ Codicil(s) presented herewith, ) being duly qualified according to law, depose(s~'and
say(~'that she /~ ~'i ~ was / present and saw the above -e~s~a~'ei- /Testatrix sign the same
and that she /3~e/gyp signed the same and that she ; tee./ tai.. signed as a witness at the request of
the °-~-~-/ Testatrix in her / .tTis- presence and in the presence of each other.
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City, State, Zip)
Executed in Register's Office
Sworn to or affirmed and subscribed
before me this day
of
(Signature)
(Street Address)
(City, Stale, Zip)
Executed out of Register's Office
Sworn to or affirted and subscribed
before me this Z C~ ~-b day
of , n~c~r~ , ~_
Deputy for Register of Will QOhN~fONWEALTH OF PEJVNSYLV o~ Public
~~~ Commission Ex fires:
Daniel t~ursfi, Notary Publk P
5yy~ $~ 7yyp,r ~ , (Si nature and Seal of Notary or other official qualified to
('~Y ~ EXpk~S DeC. 7, 2015 ad sinister 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.
Pornt R w-U3 re v. l 0.13.06