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LAST WILL AND TESTAMENT OF SINGLE PERSON

I, _____________________________, resident of _____________________________ ________________________________________, being of sound mind do hereby make, publish, and declare this Will to be my last Will and testament. I hereby declare that I am over the age of eighteen (18) years. I further declare that I am not executing this Will under any duress, menace, fraud, mistake, or undue influence. I hereby expressly revoke all Wills and Codicils previously made by me. �

I.� EXECUTOR

I hereby appoint ____________________________________ as Executor of this will. My Executor shall be authorized to carry out all provisions of this Will and pay my just debts, obligations and funeral expenses. If the Executor is unable or unwilling to serve then I appoint ____________________________________ as alternate Executor.

II.� BEQUESTS

I will, give, and bequeath unto the persons named below, if he or she survives me, the Property described below:

Name: _____________________________________

Address: ___________________________________

Relationship: ________________________________

Property: ___________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Name: _____________________________________

Address: ___________________________________

Relationship: ________________________________

Property: ___________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

Name: _____________________________________

Address: ___________________________________

Relationship: ________________________________

Property: ___________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

III. SIMULTANEOUS DEATH OF BENEFICIARY

If any beneficiary of this Will, including any beneficiary of any trust established by this Will shall die within 60 days of my death or prior to the distribution of my estate, I hereby declare that I shall be deemed to have survived such person.

IV. REMAINING PROPERTY

I give all the rest and residue of my estate to, ________________________, should they survive me for 60 days. If my spouse, ______________________________, does not survive me, I give all the rest and residue of my estate to ____________________. If neither _____________________________ nor ___________________ survives me, I give all the rest and residue of my estate to my heirs as determined by the laws of the State of ____________, relating to descent and distribution.

V.� ADDITIONAL POWERS OF THE EXECUTOR:� My Executor shall have the following additional powers: ___________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

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SEVERABILITY AND SURVIVAL

If any part of this Will is declared invalid, illegal, or inoperative for any reason, it is my intent that the remaining parts shall be effective and fully operative, and that any Court so interpreting this Will and any provision in it construe in favor of survival.

IN WITNESS WHEREOF, I, _______________________________________, hereby set my hand to this last Will, on each page of which I have placed my initials, on this ________ day of ____________________, 20______ at _________________________________________________.

_______________________________________ [Signature]

_______________________________________ [Printed or typed name of Testator]

_______________________________________ [Address of Testator, Line 1]

_______________________________________ [Address of Testator, Line 2]

WITNESSES

The foregoing instrument, consisting of ________ pages, including this page, was signed in our presence by _______________________________________ and declared by him or her to be his or her last Will.� We, at the request and in the presence of him or her and in the presence of each other, have subscribed our names below as witnesses.� We declare that we are of sound mind and of the proper age to witness a will, that to the best of our knowledge the testator is of the age of majority, or is otherwise legally competent to make a will, and appears of sound mind and under no undue influence or constraint.� Under penalty of perjury, we declare these statements are true and correct on this ________ day of ______________, 20______ at _____________________________.

_______________________________________ [Signature of Witness #1]

_______________________________________ [Printed or typed name of Witness #1]

_______________________________________ [Address of Witness #1, Line 1]

_______________________________________ [Address of Witness #1, Line 2]

_______________________________________ [Signature of Witness #2]

_______________________________________ [Printed or typed name of Witness #2]

_______________________________________ [Address of Witness #2, Line 1]

_______________________________________ [Address of Witness #2, Line 2]

_______________________________________ [Signature of Witness #3]

_______________________________________ [Printed or typed name of Witness #3]

_______________________________________ [Address of Witness #3, Line 1]

_______________________________________ [Address of Witness #3, Line 2]