OATH OF NON-SUBSCRIBING WITNESS(ES) REGISTER OF WILLS _________________ COUNTY, PENNSYLVANIA Estate of_______________________________________________________________________, Deceased ___________________________________________ and_________________________________________ (each) being duly qualified according to law, depose(s) and say(s) that she / he / they was / were well-acquainted with _____________________________________________________ and am / are familiar with the handwriting and signature of the decedent, and that the signature of ______________________________________________ to the foregoing instrument purporting to be the Last Will and Testament/Codicil of __________________________________________________________ is in his / her own proper handwriting. _________________________________________ (Signature) _________________________________________ (Signature) _________________________________________ (Street Address) _________________________________________ (Street Address) _________________________________________ (City, State, Zip) _________________________________________ (City, State, Zip) Executed in Register's Office Sworn to or affirmed and subscribed before me this _____________ day of ___________________, _______. ______________________________________ Deputy for Register of Wills Form RW-04 rev. 10.06.09 American LegalNet, Inc. www.FormsWorkFlow.com No._____________ Year ______________ ___________________________________ ____________________________________________________________________________________ WILL OF __________________________________ __________________________________ late of________________________Dec'd Registered __________________ 20_____ In Will Book__________ Page_________ __________________________________ Clerk of Records PROOF OF WILL (Handwriting) File No. __________________________ ___________________________________ ____________________________________________________________________________________ American LegalNet, Inc. www.FormsWorkFlow.com