OATH OF WITNESS(ES) TO WILL EXECUTED BY MARK REGISTER OF WILLS COUNTY, PENNSYLVANIA Estate of , Deceased , (Print Name/s) (each) a subscribing witness to the " Will " Codicil(s) presented herewith, (each) being duly qualified according to law, depose(s) and say(s) that: Testator / Testatrix was unable to sign his / her name thereto; Testator's / Testatrix' name was subscribed thereto in Testator's / Testatrix' presence; Testator / Testatrix made his / her mark thereon; Testator / Testatrix and deponent(s) were present when Testator's / Testatrix' name was subscribed and when Testator / Testatrix made his / her mark; and Testator / Testatrix was present when the undersigned signed the " Will " Codicil as witness(es). (Signature) (Signature) (Street Address) (Street Address) (City, State, Zip) (City, State, Zip) Sworn to or affirmed and subscribed before me this of , day . Deputy for Register of Wills Form RW-05 rev. 10.13.06 American LegalNet, Inc. www.FormsWorkflow.com