HomeMy WebLinkAbout02-01-13I,a~
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tom' `~''~ ~ REGISTER OF `FILLS
y~-~ v ~ ~ ~'~~~ ~' yr ~OL!i'TY, PE1 ! "SYLVA~i'L~
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Estate of ~~'~--\ ~~ `~--~ ~` ' ~ ` ~
,Deceased
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(each) a subscribing witness to
(Print Name/s)
the LI Will ^ Codicil(s) presented herewith, (each) being dui ualified accordin to law de ose s a
Y q g p () nd
say(s) that s e he /the was were
Y ~" present and saw the above Testator estate sign the same
and that ~ / he /they signed the same and that ~~ / he /they signed as a witness at the request of
the Testator / T stat • l in ~/ his presence and in the presence of each other.
~~ _ ~
(Sig,tatur
(Street Address)
(City, State, Zip)
Execccted in Register's Office
Sworn to or affirmed and subscribed
before e this _ 5~ day
u,y tg~.er o~ ,~':'a
(Signature)
(Sn-eet Address)
(City, State, Zip)
Execccted occt of Register's Office
Sworn to or affirmed and subscribed
before me this
of
day
?~1~~ Cam~rissiar. E~pre~:
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(Signature and Sea'. of'dotar~ or o;~,e; e: _ ,. ~ ; uai~' ,. to
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adm~nlSte: 02thS. Show date 0? eXplratlvn C: lvotar;"~S ~Om[T115Sio;,.~
tiOTE: To 5e taken by Officer authorized to administer oaths. Please have present the original or copy of instruments; at time o: notarization.
Fornt RW-03 rev. !0.!3.06