GEORGIA PROBATE COURT STANDARD FORM
INTERROGATORIES TO WITNESS TO WILL PROBATE COURT OF Re: COUNTY to probate in (Common) , , of , deceased.
Name Address
Petition of (Solemn) Form the purported Last Will and Testament dated
To:
The following interrogatories are submitted to you under the provisions of Official Code of Georgia Ann. ยง53-5-23 as amended, in connection with the petition referred to above. (Initial A or B below:) A. The original of said purported Will was exhibited to me herewith. B. Attached hereto is a true photographic copy of said purported Will NOTE: said
attachment must be filed with the Court.
You are hereby requested to answer the following questions in the space provided with respect to said purported Will: 1. 2. 3. Did YOU sign the purported Will as a witness? Did the above-named Decedent sign the purported Will? Did the decedent acknowledge that the purported Will was his/her Last Will and Testament at the time of signing? Did you witness this Will at the request of the decedent and in the presence of the decedent? 1. Answer: 2. Answer:
3. Answer:
4.
4. Answer:
5.
Did the decedent know that he/she was executing his/her Last Will and Testament when he/she executed this instrument? 5. Answer: Did the decedent execute this instrument voluntarily? Did the decedent appear to be of sound and disposing mind and memory at the time of execution of this instrument? 6. Answer:
6. 7.
7. Answer:
Before me, the undersigned Notary Public or Clerk of the Probate Court, appeared , who, under oath, stated that the answers (s)he has given to the foregoing interrogatories are true and correct. This day of , .
Signature of Witness to Will Mailing Address: Telephone Number:
Notary Public/Clerk of Probate Court My Commission Expires
Notes: (1) General instructions applicable to all Georgia probate court standard forms are available in each probate court. (2) If the interrogatories are submitted to a witness to a purported codicil, appropriate changes must be made in this form.
Effective 7/07
GPCSF 6