IN THE CHANCERY COURT FOR WILLIAMSON COUNTY, TENNESSEE ESTATE OF: ) (Decedent) AFFIDAVIT NO. ) The Affiant, after being sworn, deposes and says 1. My name is: ; 2. My address is: ; 3. I have examined the attached document and believe that the entire document is in the handwriting of : ; 4. I have examined the attached document and believe that the document bears the signature of: ; 5. My relationship to the decedent was , and I had many occasions to see specimens of his handwriting and signature. 6. At the time this document was written, I believe the decedent was of sound mind and over the age of 18 years. ____________________________________ AFFIANT STATE OF TENNESSEE COUNTY OF Sworn to and subscribed before me this ____ day of _____________, 20____. _______________________________________ Notary Public/Clerk and Master My Commission Expires: ______ American LegalNet, Inc. www.FormsWorkFlow.com