I,
of
being of sound mind, declare this to be my last will and testament.
I hereby revoke all former wills and codicils made by me and declare this to be my last will and testament.
I appoint
as the Executor of this will.
I give, devise, and bequeath as follows:
To
I give
To
I give
All the rest and residue of my estate I give to
Signed on this
day of
,
Signature of Testator
Witness 1 - Signature
Witness 1 - Name
Witness 2 - Signature
Witness 2 - Name