STATE OF NORTH CAROLINA County Name Of Decedent File No. In The General Court Of Justice Superior Court Division Before The Clerk IN THE MATTER OF THE ESTATE OF: Date Of Paper-Writing HOLOGRAPHIC WILL AFFIDAVITS FOR PROBATE OF HOLOGRAPHIC WILL HOLOGRAPHIC CODICIL G.S. 28A-2A-9, 31-3.4 I, the undersigned affiant, being first duly sworn, say that the paper-writing purporting to be the Last Will and Testament or codicil of the above-named decedent, which bears the date indicated above, is now offered for probate and was found after the testator's death: 1. among the testator's valuable papers or effects. 2. in a safe deposit box or other safe place where it was deposited by the testator or under the testator's authority. 3. in the possession or custody of some person with whom, or some firm or corporation with which, it was deposited by the testator or under the testator's authority for safekeeping. SWORN/AFFIRMED AND SUBSCRIBED TO BEFORE ME Date Signature Of Person Authorized To Administer Oaths Signature Of Affiant Name Of Affiant (Type Or Print) Deputy CSC Assistant CSC Notary Clerk Of Superior Court County And State (Or Country) Where Notarized SEAL Date My Commission Expires I, the undersigned affiant, being first duly sworn, say that I am acquainted with the handwriting of the above-named decedent whose Last Will and Testament the paper-writing now shown purports to be, that I believe the paper-writing is written entirely in the handwriting of the decedent, and that the name of the decedent subscribed to or written in or on the paper-writing is in the handwriting of the decedent. SWORN/AFFIRMED AND SUBSCRIBED TO BEFORE ME Date Signature Of Person Authorized To Administer Oaths Signature Of Affiant 2 Name Of Affiant 2 (Type Or Print) Deputy CSC Assistant CSC Notary Clerk Of Superior Court County And State (Or Country) Where Notarized SEAL Date My Commission Expires I, the undersigned affiant, being first duly sworn, say that I am acquainted with the handwriting of the above-named decedent whose Last Will and Testament the paper-writing now shown purports to be, that I believe the paper-writing is written entirely in the handwriting of the decedent, and that the name of the decedent subscribed to or written in or on the paper-writing is in the handwriting of the decedent. SWORN/AFFIRMED AND SUBSCRIBED TO BEFORE ME Date Signature Of Person Authorized To Administer Oaths Signature Of Affiant 3 Name Of Affiant 3 (Type Or Print) Deputy CSC Assistant CSC Notary Clerk Of Superior Court County And State (Or Country) Where Notarized SEAL Date My Commission Expires Over Original - File AOC-E-302, Rev. 9/12 © 2012 Administrative Office of the Courts American LegalNet, Inc. www.FormsWorkFlow.com I, the undersigned affiant, being first duly sworn, say that I am acquainted with the handwriting of the above-named decedent whose Last Will and Testament the paper-writing now shown purports to be, that I believe the paper-writing is written entirely in the handwriting of the decedent, and that the name of the decedent subscribed to or written in or on the paper-writing is in the handwriting of the decedent. SWORN/AFFIRMED AND SUBSCRIBED TO BEFORE ME Date Signature Of Person Authorized To Administer Oaths Signature Of Affiant 4 Name Of Affiant 4 (Type Or Print) Deputy CSC Assistant CSC Notary Clerk Of Superior Court County And State (Or Country) Where Notarized SEAL Date My Commission Expires AOC-E-302, Side Two, Rev. 9/12 © 2012 Administrative Office of the Courts American LegalNet, Inc. www.FormsWorkFlow.com