Affidavit of Subscribing Witnesses Commonwealth of Pennsylvania SS: _________________________________ BE IT KNOWN, that on the ________ day of _____________________ before me, a Notary Public in and for said Commonwealth and County, personally appeared ________________________________ and, __________________________________________________________________, the subscribing witnesses to the foregoing instrument of writing, purporting to be the Last Will and Testament/Codicil of ______________________________________________, Deceased and on their solemn oath did depose and say that they were present and did see and hear ________________________________, the Testator therein named, sign, seal, publish and declare the same as and for his Last Will and Testament/Codicil, and at the time of so doing, he (she) was of sound mind and memory, to the best of their knowledge and belief, and at his (her) request and in his (her) presence they subscribed their names as witnesses. Signature ____________________________ Signature ___________________________ Sworn to and subscribed before me, this _______________ day of ______________________. ___________________________________________________________________________________ Notary Public [affinotary] American LegalNet, Inc. www.FormsWorkflow.com