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2644 Deposition of Witness to Will IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS COUNTY DEPARTMENT - PROBATE DIVISION

(Rev. 9/24/01) CCP 0325 A

Estate of

_______________________________________________
Deceased

}

No.

_____________________________ ___________________________

Docket

Page __________________________________

DEPOSITION OF WITNESS TO WILL
This is the deposition taken upon written questions for evidence of ___________________________________________ ______________________________________ under 755 ILCS 5/6-5, on ________________________________, ________. at _____________.m., at ___________________________________________________________________________________
(address)

____________________________________________________________.
(city/state/zip)

The witness on oath testified: 1. Q. State your name and address A. _________________________________________________________________________________________________ 2. Q. Look at the attached instrument, which is a facsimile of an instrument dated _______________________, _______, purporting to be the will of __________________________________________________________________ (testator). Does the original bear your signature as a witness? A. _________________________________________________________________________________________________. 3. Q. Was the will signed by the testator in your presence? A. _________________________________________________________________________________________________ *________________________________________________________________________________________________________ ________________________________________________________________________________________________________. 4. Q. Did you sign the will in the presence of the testator? A. _________________________________________________________________________________________________. 5. Q. Did you believe the testator to be of sound mind and memory when he/she signed the original instrument? A. _________________________________________________________________________________________________. _______________________________________ Signature of Witness
*If the instrument was not signed by the testator in the presence of the witness, insert: Q. Was the instrument acknowledged by the testator as his/her act in your presence? A. _______________________________________________________________.
(SEE REVERSE SIDE)

DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS

(Rev. 9/24/01) CCP 0325 B

CERTIFICATE OF OFFICER

___________________________________________, _________ I certify that the witness was sworn by me and this deposition is a record of the testimony given. I am not a relative of nor attorney for any person interested in this estate, nor a relative of any attorney for any such person, nor am I financially interested in this estate. No person or attorney interested in the estate was present during the taking of the deposition or dictated, wrote, or drew up any answer to any question.

_________________________________________________ Name and title

DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS