Self-Proving Affidavit Template
This Self-Proving Affidavit is created in accordance with the laws of the State of _________
(insert state name) to accompany the Last Will and Testament of the undersigned,
affirming that the Will is both valid and accurately reflects the intentions of the testator.
State of ________
County of ________
I/we, ________________ (insert name of testator),
being duly sworn, declare the following under penalty of perjury:
- The accompanying Last Will and Testament was signed by me,
________________ (insert name of testator), or at my direction
or in my presence.
- At the time of signing, I was of sound mind and over the age of eighteen (18) years, or
legally emancipated, and under no constraint or undue influence.
- The witnesses listed herein,
________________ and ____________________,
each over the age of eighteen (18), witnessed my signing of the Will and signed the Will in my presence and in the presence of each other.
- Each witness is competent to testify in court about the Will's execution should it become necessary.
- This affidavit is being signed to provide a self-proving testament to accompany my Last Will and Testament.
Subscribed and sworn to before me, a Notary Public, this ___ day of _________, 20__.
____________________________________
Signature of Testator
____________________________________
Print Name of Testator
Witness #1 Information:
Signature: ______________________________
Print Name: _____________________________
Address: ________________________________
Date: ___________________________________
Witness #2 Information:
Signature: ______________________________
Print Name: _____________________________
Address: ________________________________
Date: ___________________________________
Notary Public Information:
State of: _______________________________
County of: ______________________________
Signature: ______________________________
Printed Name: ___________________________
My commission expires: ___________________