OATH OF SUBSCRIBING WITNESS(ES) REGISTER OF WILLS _________________ COUNTY, PENNSYLVANIA Estate of_______________________________________________________________________, Deceased ______________________________________________________________,(each) a subscribing witness to the Will say(s) that Codicil(s) presented herewith, (each) being duly qualified according to law, despose(s) and she / he / they was / were present and saw the above Testator / Testatrix sign the same and that she / he / they signed the same and that she / he / they signed as a witness at the request of the Testator / Testatrix in his / her presence and in the presence of each other. _________________________________________ (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 ___________________, _______. Executed out of Register's Office Sworn to or affirmed and subscribed before me this______________ day of ____________________, ________. ______________________________________ Deputy for Register of Wills ________________________________________ Notary Public My Commission Expires: (Signature and Seal of Notary or other official qualified to administer oaths. Show date of expiration of Notary's Commission.) Form RW-03 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 (Witnesses) File No. __________________________ ____________________________________________________________________________________ ___________________________________ American LegalNet, Inc. www.FormsWorkFlow.com