Free SUPERIOR COURT OF THE DISTRICT OF COLUMBIA - District of Columbia

SUPERIOR COURT OF THE DISTRICT OF COLUMBIA PROBATE DIVISION AFFIDAVIT OF WITNESS On this _____ day of ________ , 20__ , ____________________________ personally appeared and answered the following questions: YES 1-Were you one of the witnesses who signed the attached written document which is dated _____________ and is said to be the (last will and testament) (codicil) of__________________________ of the District of Columbia who is now deceased? NO

2- Did the testat ____ sign the document while in your present?

3- Did the testat____ say the document was h___ (will) (codicil)?

4- Did the testat____ seem to be of sound mind and aware of what __he was doing at the time __he signed the document?

5- Did the testat____ ask you to sign the document as a witness

6- When you signed the document as a witness, were the testat____ and all of the Witnesses who signed the document present?

7- Were you present when each of the other witnesses signed the document?

8- Did the testat____ ask the other people who signed the document to do so as the will was presented?

9- Was the testat____ present when each of the witnesses signed the document?

10- Do you know of any will or codicil of ________________ , testat____ other than the attached document? 11- What is your date of birth? _______________________

REMARKS:

I do solemly declare and affirm under the penalty of law that the contents of the foregoing document are true and correct to the best of my knowledge, information and belief.

NAME: ______________________________ ADDRESS: ______________________________ ______________________________