A.C. 61 Commonwealth of Massachusetts PROBATE COURT PLYMOUTH, SS. In the ma tte r of proving the la s t will a nd te s ta me nt of late of in s a id County. I, of be ing duly s worn, de pos e a nd s a y tha t in the County of ,20 the re in na me d s igne d s a id ins trume nt, da te d the te s ta t a s a nd for - a codicil to - h la s t will a nd te s ta me nt in my pre s e nce a nd in the pre s e nce of a nd the othe r s ubs cribing witne s s e s ; tha t we a ll the re a fte r s igne d our na me s the re to a s witne s s e s a t the re que s t a nd in the pre s e nce of s a id te s ta t a nd tha t a t the time of s igning s a id ins trume nt, s a id te s ta twa s in my opinion of full a ge a nd of s ound mind. da y S ubs cribe d a nd s worn to this of , 20 Be fore me , R e gis te r of Probate . American LegalNet, Inc. www.USCourtForms.com