Proof Of Witness {W6b}

State of New Jersey Middlesex County Surrogate's Court PROOF OF WITNESS DOCKET No. In the Matter of the Estate of , Deceased (aka: STATE OF COUNTY OF ) ss: ) , one of the witnesses to the annexed writing, purporting to be the the decedent therein last Will and Testament and/or Codicil(s) of named, being duly sworn on oath, says that he/she saw the decedent sign and seal the said annexed writing and heard him/her publish, pronounce and declare the same as and for his/her last Will and Testament and/or Codicil(s). That at the time of the doing thereof, the said decedent was of sound and disposing mind, memory and the understanding, as far as this deponent knows and verily believes; that other subscribing witness thereto, was present at the same time with this deponent when the said Will and/or Codicil(s) was/were signed by the said decedent and published and declared as and for his/her last Will and Testament and/or Codicil(s) as aforesaid; and that the said other witness and deponent subscribed their names to said Will and/or Codicil(s) as witnesses in the presence of said decedent and of each other, at the request of said decedent. Witness Signature Subscribed and sworn to before me Notary ©FACSTORE, 1994 Form-W6B CASE: «case» PRINT DATE: «today» Page 1 American LegalNet, Inc. www.FormsWorkFlow.com