1. Testator Details

Full Name of Testator 1

Full Name of Testator 2

Address

2. Declaration

We, and , being of sound mind, hereby declare this to be our joint will relating to our jointly owned property:

Property Address/Description

Full Name of Beneficiary Relationship Share/Portion

Full Name of Executor Address

Testator 1 Signature Date

Testator 2 Signature Date

Name of Witness 1 Signature Date

Name of Witness 2 Signature Date