Docket No.: _____________ State of New Jersey Salem County Surrogate’s Court In the matter of the Estate of: _____________________________________________, Deceased } PROOF OF WITNESS AKA: _______________________________________ STATE OF NEW JERSEY COUNTY OF SALEM } SS. I, ___________________________________________, one of the witnesses to the annexed writing, purporting to be the Last Will of _______________________________ the testator/rix therein named, deceased, being duly sworn on their oath, says that they saw the testator/rix sign and seal the said annexed writing and heard them publish, pronounce and declare the same as and for their Last Will and Testament. That at the time of the doing thereof, the said testator/rix was of sound and disposing mind, memory and understanding, as far as this deponent knows and verily believes; that __________________________________________ the other subscribing witness/es thereto, was /were present at the same time with this deponent when the said Will was signed by the said testator/rix and by them published and declared as and for their Last Will and Testament as aforesaid; and that the said other witness/es and deponent subscribed their names to said Will as witnesses in the presence of said testato/rix and each other, at the request of said testator/rix Signature Sworn and subscribed before me on: ______/______/20___ A Notary Public of the State of ____________________________ My Commission Expires: _____________________ Affix Seal N3.DOC Page 1 of 1 American LegalNet, Inc. www.USCourtForms.com