DEPOSITION OF WITNESS TO WILL This is the deposition taken upon written questions for evidence of [printed name of the witness] under 2476-5 of the Probate Act of 1975 [755 ILCS 5/6-5]on at þ . [date] [address] [city/state/zip]1. Q. þ State your name and address A. 2. Q. þ Look at the attached instrument, which is a photographic copy of an original instrument dated purporting to be the Will of (the 223testator224). Does the original instrument bear your signature as a witness? þ A. þ 3. Q. þ Was the Will signed by the testator in your presence? A. 4. Q. þ If the Will was not signed by the testator in your presence, did the testator acknowledge to you that the testatorsigned the Will? þ A. þ 5. Q. þ Did you sign the Will in the presence of the testator? A. 6. Q. þ Did you believe the testator to be of sound mind and memory when the testator signed the Will? A. [signature of the witness] Dorothy Brown, Clerk of the Circuit Court of Cook CountyPage 1 of 2 CCP325A (Rev. 10/1/2018) Case No. Calendar Estate of DeceasedIN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS COUNTY DEPARTMENT 226 PROBATE DIVISION2401CERTIFICATE OF OFFICER Dated þ , 20 þ þ I certify that the witness was sworn by me and this deposition is a record of the testimony given. I am not a relative of, or an attorney for, any person interested in this estate; I am not a relative of any attorney for any person interested in during the taking of the deposition or dictated, wrote or drew up any answer to any question. Case No. Dorothy Brown, Clerk of the Circuit Court of Cook CountyPage 2 of 2 CCP325B (Rev. 10/1/2018)