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Signcd, sealtJ, ~ublishcd ~nd dcclarcd to be her LAST W1LL AND TESTAMENT by the within named
Tc~tat~i~ in thc prccence ot us. a•ho in her presence and at het request. snd in the prexace ot each other. have he~e-
unto suhsc~it~d ~ur names ~s witnesses: ~
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AFFIDAVIT
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Personally appeared ( i ) . ~ ~
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p ~~ho being duly sworn. depose and say that they attestt~ the said Will and they subscribed the same at the request
and in the preunco o[ the said Tcstatrix and in the preunce of each other. and the said Testatrix signed said Will in .
their presence and acknowledged: that she had signed said Will and declared the same to be hcr LAS'C WILL AND
TESTAyfEM, and deponents turther :tate that at the time of the exccution of said \Yill the said Testatrix appeared ~ ~
to be of laaiul age and sound mind and memory and there was no evidence of undue influcnce. The deponents make ~
this a~davit at the rcquest of tht Testatriu. ~
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! Suburited a~d t:~orn to before me this ~ ~~1- _day ot 19~. . f
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