NOTATIONS FOR FORM 112

Similar documents
NOTATIONS FOR FORM 103

NOTATIONS FOR FORM 101

NOTATIONS FOR FORM 307

NOTATIONS FOR FORM 205

NOTATIONS FOR FORM 201

NOTATIONS FOR FORM 204

NOTATIONS FOR FORM 410

WILL WITH TESTAMENTARY TRUST

LAST WILL AND TESTAMENT OF

SAMPLE THE LAST WILL AND TESTAMENT OF. Jane Doe DECLARATION

MICHIGAN REVOCABLE LIVING TRUST OF

THE LAST WILL AND TESTAMENT OF SAMPLE JANE DOE DECLARATION FAMILY. [This section varies depending on your marital and parental status.

THE PETER JONES IRREVOCABLE TRUST

THE LAST WILL AND TESTAMENT OF SAMPLE. John Doe DECLARATION

THE JOHN DOE REVOCABLE TRUST

This REVOCABLE LIVING TRUST made on [DATE], between [NAME], Grantor, and [NAME], Initial Trustee, witnesseth:

BOSTON BAR ASSOCIATION. November 15, 2011 DURABLE POWER OF ATTORNEY SAMPLE PROVISIONS

***** THE FAMILY TRUST AGREEMENT. THIS trust agreement is hereby entered between of, as Grantor and as Trustee for the Family Trust.

SAMPLE DECLARATION OF TRUST. The John Doe Living Trust (the Trust )

SECTION 2503(C) MINOR'S TRUST

I/We enclose a fully executed copy of the Trustee Amendment for your records. I/We would also like to provide you with the information listed below.

LIVING TRUST. Sample Preview

DRAFTING INSTRUCTIONS: [DRAFTING INSTRUCTIONS APPEAR IN GREEN. DELETE THESE INSTRUCTIONS WHEN YOU HAVE COMPLETED DRAFTING YOUR WILL]

A Primer on Wills. Will Basics. Dispositive Provisions

Section 11 Probate Glossary

SMALL ESTATE AFFIDAVIT AND ORDER

GUIDELINES for ADMINISTRATION of DECEDENTS ESTATES

The Vanguard 403(b)(7) Individual Custodial Account Agreement

1622 W. Colonial Parkway, Suite 201 (847) Inverness, Illinois Fax (847)

1 Account Holder Information

LIVING TRUST CHARITABLE REMAINDER UNITRUST

POWER OF ATTORNEY NEW YORK STATUTORY SHORT FORM

SAFE HARBOR TITLE AGENCY, LTD.

THE LIVING TRUST. TRUST AGREEMENT signed this day of, 20 by. (hereafter "Settlor,"), and trustee. (hereafter "trustee). ESTABLISHMENT OF TRUST

NOTATIONS FOR FORM 409

GLOSSARY OF FIDUCIARY TERMS

ADOPTION AGREEMENT AND PLAN DOCUMENT. 403(b)(7)

SCOTTISH WIDOWS BUSINESS PROPERTY WILL TRUST ADVISER GUIDE

MASTER TRUST AGREEMENT

Requirements vary from state to state. Generally, for your will to be valid, the following requirements must be satisfied.

The Continuing Legal Education Society of Nova Scotia

T h e F i d e l i t y I R A

This is a sample document. Your document won t look exactly like this one; it will be tailored to your circumstances and your state s laws.

GUIDELINES FOR ADMINISTRATION OF DECEDENTS ESTATES

DECLARATION OF THIRD PARTY SUPPLEMENTAL NEEDS TRUST THIS IS A BINDING LEGAL DOCUMENT. YOU ARE ADVISED TO OBTAIN PROFESSIONAL ADVICE BEFORE SIGNING.

F19 Irrevocable Life Insurance Trust (One Life Insured)

CHAPTER THREE Structuring the Will

CHAPTER THREE Structuring the Will

REVOCABLE LIVING TRUST

Sample Trusts Elizabeth Forspan, Esq.

MASTER TRUST I THE ARC OF NEW MEXICO Pooled Trust (A Trust for Persons with Disabilities)

Title 18-A: PROBATE CODE

INTER VIVOS CHARITABLE REMAINDER UNITRUST AGREEMENT

For Preview Only - Please Do Not Copy

Will. John Citizen. Slater and Gordon Limited ACN La Trobe Street MELBOURNE VIC 3000 Enquiries: Fax:

INSTRUCTIONS FOR GIFTING STOCK

GLOSSARY. Compiled by Carolyn Paseneaux

Case 1:18-cv PAE Document 20-7 Filed 12/14/18 Page 1 of 13 AND

CHAPTER THREE Structuring the Last Will

REAL ESTATE INFORMATION NEEDED BY McCORMICK COUNTY PROBATE COURT. Deed Book: Page: TMS#: Value: Deed Book: Page: TMS#: Value:

TRUST AND ESTATE PLANNING GLOSSARY

STATUTORY DURABLE POWER OF ATTORNEY

OTHER REQUIRED DOCUMENTS

International Portfolio Bond Discretionary Will Trust for married couples or registered civil partners

CHARITABLE REMAINDER UNITRUST (Term of Years)

County of Ocean, New Jersey. Jeffrey W. Moran, Surrogate 118 Washington Street, P. O. Box 2191 Toms River, NJ Phone:

ESTATE PLANNING AND WILL INFORMATION FORM

CHILDREN S TRUST ARTICLE I TRANSFER IN TRUST

INFORMATION SUPPLEMENTAL

DISPOSITION OF PERSONAL PROPERTY WITHOUT ADMINISTRATION (FLA. STAT )

THE THOMAS C. CLIENT LIVING TRUST , 20

ESTATE PLANNING DOCUMENT CHECKLISTS GENERAL INFORMATION. 1. Client s Full Current Name: 2. Other Names: 3. Current Residence: 4. Phone: 5.

How to Give Your Kavilco Shares

Fidelity Personal Trust Company, FSB Special Provisions

AN ACT. Be it enacted by the General Assembly of the State of Ohio:

LIVING TRUST IRREVOCABLE TRUST

IC Chapter 8.5. Indiana Uniform Transfers to Minors Act

POWER OF ATTORNEY NEW YORK STATUTORY SHORT FORM

1 ORIGINAL WILL 1 DUPLICATE WILL

FLOWCHART: OVERVIEW ON TRUSTS. Customer (Grantor) creates a trust contract with an attorney. Grantor. Grantor puts assets in trust House Names

STATE OF CONNECTICUT OFFICE OF THE STATE COMPTROLLER DEPENDENT CARE ASSISTANCE PLAN PLAN DOCUMENT

APPLICATION FOR PARTICIPANT LOAN

6/8/2018. POWERS OF ATTORNEY A legal document giving someone authority to manage finances. Power of Attorney.

Probate in Florida. 1. What is probate?

FLEXIBLE IRREVOCABLE LIFE INSURANCE TRUST (CAN BE USED WITH EITHER INDIVIDUAL OR SURVIVORSHIP LIFE POLICIES) EXPLANATION FOR LEGAL COUNSEL

HSA CUSTODIAL AGREEMENTS AND OTHER REQUIRED DOCUMENTS

LUTHERAN SOCIAL SERVICE OF MINNESOTA S NORTH DAKOTA SELF-SETTLED POOLED TRUST AGREEMENT

BASICS OF WILL AND REVOCABLE TRUST DRAFTING February 9, 2018 NC Bar Center Cary, NC. Table of Contents

MASTER TRUST FOR THE OPTIONAL RETIREMENT PLAN OF THE COMMONWEALTH OF VIRGINIA FOR EMPLOYEES OF INSTITUTIONS OF HIGHER EDUCATION

UNITED MINE WORKERS OF AMERICA 1950 PENSION TRUST

Testator (whose estate plan is this?)

TIAA-CREF Funds Coverdell Education Savings Account Package. UMB Bank N.A. Coverdell Education Savings Account information kit

ALABAMA STATE BAR WILLS FOR HEROES PROGRAM

SINGLE CLIENT TRUST WORKSHEET

A Guide to Estate Planning

FILED: NEW YORK COUNTY CLERK 03/23/ :12 PM INDEX NO /2014 NYSCEF DOC. NO. 25 RECEIVED NYSCEF: 03/23/2015

Probate in Florida* 2. WHAT ARE PROBATE ASSETS?

HIS IS THE LAST WILL of me **CLIENT NAME** of **client

APPLICATION TO TRANSFER CAPITAL CREDIT ACCOUNT OF DECEASED MEMBER

Trust Agreement For Directed Roth Individual Retirement Accounts

Transcription:

NOTATIONS FOR FORM 112 This form gives testator s residuary estate to the spouse outright. If the spouse predeceases the testator, a child s share can be - Given to the child outright (see right page main form), or - Added to the trust that will be created for the child under the predeceased spouse s estate planning document (see left page alternate provision). If it is desired to reserve apportionment rights for death taxes generated not only by marital trusts but also by other property passing outside the estate, substitute for first paragraph of FIRST: 1 FIRST: My executor shall pay all expenses of my last illness and funeral, costs of administration including ancillary, costs of safeguarding and delivering devises, and other proper charges against my estate (excluding debts secured by real property or life insurance). Except as hereinafter provided, my executor shall also pay all estate and inheritance taxes and generation-skipping taxes on direct skips which are assessed by reason of my death, including such taxes on property passing outside this will. Such payments, including interest and penalties on any tax, shall be charged against principal or income as provided by applicable state law. My executor shall make these payments from my estate without apportionment or reimbursement or charging any direct skip property. My executor shall not pay death taxes caused by: (a) Property over which I may have a power of appointment, (b) Property in which I may have a qualifying income interest for life, unless for generation-skipping tax purposes the property has an inclusion ratio of zero and is treated as if the qualified terminable interest property election had not been made, (c) Property constituting a direct skip for generation-skipping tax purposes which is caused by a disclaimer or which is from a trust not created or appointed by me, (d), and [ List additional property passing outside the instrument against which tax apportionment rights should be asserted. ] (e). The person holding or receiving the above-described property shall pay, either directly or to my executor, the amount, if any, by which the death taxes are increased as a result of the taxation of that property. If two or more properties cause an increase in a tax, the increase shall be allocated among the properties in proportion to their respective taxable values. If there may be after-born children, add to SECOND: 2 I intend by this will to provide for all my children, including any hereafter born or adopted. If there is community property, add to SECOND: 3 I intend by this will to dispose of my separate property and my share of our community property, and I confirm to my wife her share of our community property. 112-0

FORM 112 WILL Outright for Married Testator WILL I, JOHN DOE, a resident of,, make this my will and revoke all prior wills and codicils. FIRST: My executor shall pay all expenses of my last illness and funeral, costs of administration including ancillary, costs of safeguarding and delivering devises, and other proper charges against my estate (excluding debts secured by real property or life insurance). My executor shall also pay all estate and inheritance taxes assessed by reason of my death, including such taxes on property passing outside this will, except that the amount, if any, by which the estate and inheritance taxes shall be increased as a result of the inclusion of property in which I may have a qualifying income interest for life or over which I may have a power of appointment shall be paid by the person holding or receiving that property. Such payments, including interest and penalties on any tax, shall be charged against principal or income as provided by applicable state law. My executor shall make these payments from my estate without apportionment or reimbursement. TAXES EXPENSES My executor s selection of assets to be sold to make the foregoing payments or to satisfy any pecuniary devises, and the tax effects thereof, shall not be subject to question by any beneficiary. My executor shall make such elections and allocations under the tax laws as my executor deems advisable, without regard to the relative interests of the beneficiaries and without liability to any person. No adjustment shall be made between principal and income or in the relative interests of the beneficiaries to compensate for the effect of elections or allocations under the tax laws made by my executor. The balance of my estate which remains after the foregoing payments have been made or provided for shall be disposed of as hereinafter provided. SECOND: My wife s name is MARY DOE, and she is herein referred to as my wife. I have three children now living, namely: FAMILY JOHN DOE, JR., born (date) ; DOROTHY DOE, born (date) ; and DAVID DOE, born (date). 2004, Northern Trust Corporation 112-1

If special gifts of personal effects are desired, substitute for THIRD: 4 THIRD: I give (a) all my clothing and jewelry to my son, DAVID, if he survives me by 30 days, and (b) all my personal and household effects, automobiles, boats and collections not otherwise effectively disposed of by this will, and any insurance policies thereon, to my wife if she so survives me, otherwise to my children who so survive me to be divided equally among them as they agree. My executor shall sell any property as to which there is no agreement within 60 days after admission of this will to probate and shall add the proceeds to the residue of my estate. If a separate writing identifying gifts of personal effects is desired and is permitted in your state, substitute for THIRD: 5 THIRD: I give all my personal and household effects, automobiles, boats and collections, and any insurance policies thereon, in accordance with a written statement which I shall have prepared prior to my death in conformity with state law. My executor may assume that no written statement exists if none is found within 30 days after admission of this will to probate. Except as otherwise provided in any such written statement, I give the aforementioned property to my wife if she survives me by 30 days, otherwise to my children who so survive me to be divided equally among them as they agree. My executor shall sell any property as to which there is no agreement within 60 days after admission of this will to probate and shall add the proceeds to the residue of my estate. If the will elsewhere makes a special gift of personal effects (e.g., if a gift of furniture and furnishings is included with a gift of real estate), limit THIRD to those items not otherwise effectively disposed of by this will. Tangible personal property not clearly described in THIRD (e.g., airplanes, tangible personality acquired for investment) should be specifically mentioned in the will. If there may be minor children, add to THIRD: 6 If a child is a minor at the time of distribution, the guardian of or person in loco parentis to the child shall represent him or her in the division of the property, receipt for and hold his or her share or sell all or any part of it, and deliver the share or proceeds to the child when he or she reaches majority, or earlier if the guardian or person considers it to be for the child s best interests. If special gifts of money are desired, add the following after THIRD and renumber the succeeding articles: 7 FOURTH: I give (a) $ 5,000 to my sister, JANE DOE, of,, if she survives me; (b) $ 2,500 to the OLD PEOPLE S HOME, of,, if in existence at my death; and (c) $ 5,000 to each of my grandchildren who survives me; if a grandchild is a minor, payment may be made for the benefit of the grandchild to a custodian under a Uniform Transfers or Gifts to Minors Act. No interest or share of income shall be paid on these devises. If special gifts of property are desired, add the following after THIRD and renumber the succeeding articles: 8 FOURTH: If my wife survives me by 30 days, I give to her (a) all my interests in our residences, including seasonal and vacation homes, and any insurance policies thereon, subject to any mortgage indebtedness and unpaid taxes and assessments on the properties; 9..., free of any mortgage indebtedness, which I direct shall be paid from my estate; (b) all my transferable club memberships; and (c) all my community property interests in any individual retirement plans in her name and any employee benefit plans in which she is a participant. OR 112-2

FORM 112 (continued) THIRD: I give all my personal and household effects, automobiles, boats and collections, and any insurance policies thereon, to my wife if she survives me by 30 days, otherwise to my children who so survive me to be divided equally among them as they agree. My executor shall sell any property as to which there is no agreement within 60 days after admission of this will to probate and shall add the proceeds to the residue of my estate. PERSONAL EFFECTS 2004, Northern Trust Corporation 112-3

In the simultaneous death sentence in FOURTH, determine whether husband or wife is the poorer spouse, and provide that such spouse is deemed to have died last. The estate planning documents of husband and wife should each provide that such spouse is deemed to have died last. Addition to Bypass Trust Created by Testator s Spouse: If the spouse predeceases the testator, the spouse s estate planning document may establish a bypass trust which will continue for the benefit of children after the death of the testator. The testator may desire that if the spouse predeceases the testator, a child s share shall not be given to the child outright, but rather shall be added to the bypass trust. If that is desired, insert the following after FOURTH and renumber the succeeding articles of the will: 10 FIFTH: If my wife does not survive me and if under FOURTH of this will any share of my estate is distributable to a child or other descendant for whom the Bypass Trust or any part thereof is to be held under the trust agreement executed by my wife on, 20, before the execution of this will, with NORTHERN TRUST, of,, as trustee (designated as trust number ), then notwithstanding anything in FOURTH I give that share to the then acting trustee under that trust agreement as in effect at my death, to be added to the trust or part to be held for that child or descendant. or if addition is to bypass trust created under revocable trust agreement with spouse as initial trustee: 11 FIFTH: If my wife does not survive me and if under FOURTH of this will any share of my estate is distributable to a child or other descendant for whom the Bypass Trust or any part thereof is to be held under the trust agreement executed by my wife on, 20, before the execution of this will, with herself as trustee, and under which NORTHERN TRUST, of,, is named as successor trustee, then notwithstanding anything in FOURTH I give that share to the then acting trustee under that trust agreement as in effect at my death, to be added to the trust or part to be held for that child or descendant. or if addition is to bypass trust created under spouse s will: 12 FIFTH: If my wife does not survive me and if under FOURTH of this will any share of my estate is distributable to a child or other descendant for whom the Bypass Trust or any part thereof is to be held in trust under the will executed by my wife on, 20, before the execution of this will, then notwithstanding anything in FOURTH I give that share to the then acting trustee under my wife s will, to be added to the trust or part to be held for that child or descendant. If the GUARDIAN APPOINTMENT article is included, also add the optional provisions for after-born children in the FAMILY article and for minor children in the PERSONAL EFFECTS article. If an individual is to serve as first executor, substitute for first paragraph of SIXTH: 13 SIXTH: I appoint my wife, MARY DOE, as executor of this will. If for any reason my wife is unwilling or unable to act as executor, I appoint NORTHERN TRUST, of,, as executor of this will. If for any reason neither my wife nor NORTHERN TRUST is willing and able to act as executor as to any property, I appoint as executor as to that property such person or qualified corporation as NORTHERN TRUST shall designate in writing. The compensation of any corporate executor shall be in accordance with its schedule of fees in effect from time to time. If an individual is to serve as co-executor, substitute for first paragraph of SIXTH: 14 SIXTH: I appoint my wife, MARY DOE, and NORTHERN TRUST, of,, as executors of this will. If for any reason either my wife or NORTHERN TRUST is unwilling or unable to act as an executor, the other of them shall be sole executor of this will. If for any reason neither my wife nor NORTHERN TRUST is willing and able to act as executor as to any property, I appoint as executor as to that property such person or qualified corporation as NORTHERN TRUST shall designate in writing. The term executor shall mean the executors or executor from time to time qualified and acting under this will. The compensation of any corporate executor shall be in accordance with its schedule of fees in effect from time to time. The compensation, if any, of the individual executor shall be in addition to the full fee of the corporate executor. 112-4

FORM 112 (continued) FOURTH: All the residue of my estate, wherever situated, including lapsed devises, but expressly excluding any property over which I may have power of appointment at my death, I give to my wife if she survives me, otherwise in equal shares to such of my children as shall be living at my death, except that the then living descendants of a deceased child of mine shall take per stirpes the share which the child would have received if living. If a beneficiary is a minor, payment may be made for the benefit of the beneficiary to a custodian under a Uniform Transfers or Gifts to Minors Act. For purposes of this will, my wife shall be deemed to have survived me if the order of our deaths cannot be proved. RESIDUE FIFTH: If my wife does not survive me or dies after my death without providing for the custody of a minor child of mine, I name as guardian of the person of that child. If a guardian or conservator of the property and estate of a minor child is necessary, I name to serve in that capacity. No bond or security shall be required of any guardian or conservator. GUARDIAN APPOINTMENT SIXTH: I appoint NORTHERN TRUST [insert full legal name of applicable NORTHERN TRUST bank throughout the instrument], of,, as executor of this will. If for any reason NORTHERN TRUST is unwilling or unable to act as executor as to any property, I appoint as executor as to that property such person or qualified corporation as NORTHERN TRUST shall designate in writing. The compensation of any corporate executor shall be in accordance with its schedule of fees in effect from time to time. EXECUTOR APPOINTMENT 2004, Northern Trust Corporation 112-5

If an individual is to serve as executor with power to add a corporate co-executor, substitute for first paragraph of SIXTH: 15 SIXTH: I appoint my wife, MARY DOE, as executor of this will. If my wife desires to associate a corporate executor with her, I appoint NORTHERN TRUST, of,, as co-executor of this will. If for any reason my wife is unwilling or unable to act as executor, I appoint NORTHERN TRUST as executor of this will. If for any reason neither my wife nor NORTHERN TRUST is willing and able to act as executor as to any property, I appoint as executor as to that property such person or qualified corporation as NORTHERN TRUST shall designate in writing. The term executor shall mean the executor or executors from time to time qualified and acting under this will. The compensation of any corporate executor shall be in accordance with its schedule of fees in effect from time to time. The compensation, if any, of the individual executor shall be in addition to the full fee of the corporate executor. If an individual is to serve as co-executor, insert after fourth sentence in second paragraph of SIXTH: 16 No individual executor shall participate in the exercise of any tax election or allocation which affects his [or her] interests or the interests of any person to whom he [or she] is legally obligated, or possess any incidents of ownership with respect to any policy of insurance on his [or her] life, and the corporate executor alone shall exercise that tax election or allocation and possess those incidents of ownership. If a no contest provision is desired and is permitted in your state, the following may be added to SIXTH: 17 If any person shall seek to prevent the admission of this will to probate or to contest the validity of any part of this will, including any codicil hereto, then I disinherit that person and his or her spouse and descendants, and all of them shall be deemed to have predeceased me for all purposes of this will. 112-6

FORM 112 (continued) I give my executor power to retain any property that I own at my death; to invest in bonds, stocks, notes, bank deposits, shares of investment companies (including ones that receive services from, and pay compensation to, a corporate executor hereunder or a parent or affiliate company), or other property; to retain or make any investment without liability, regardless of type, quality, marketability or any rule requiring diversification, and I understand that investments are subject to risk, including possible loss of principal, and that my executor is not liable for losses which do not result from a violation of the executor s duties; to lease, borrow with or without security from any lender, sell or exchange all or any part of my estate, real or personal, for such prices and upon such terms as my executor deems proper; to enter into mineral transactions; to compromise, contest, prosecute or abandon claims in favor of or against my estate; to distribute income and principal in cash or in kind, or partly in each, and to allocate or distribute undivided interests or different assets or disproportionate interests in assets (and no adjustment shall be made to compensate for a disproportionate allocation of unrealized gain for federal income tax purposes), and to value my estate in order to make allocation or distribution, and no action taken by my executor pursuant to this power shall be subject to question by any beneficiary; to determine in cases not covered by applicable state statute the allocation of receipts and disbursements between income and principal; to deal with the fiduciary of any trust or estate in which any beneficiary under this will has an interest, though an executor hereunder is such fiduciary; to deal with a corporate executor hereunder individually or a parent or affiliate company; and to execute and deliver necessary instruments and give full receipts and discharges. My executor may consult with legal counsel and other agents at estate expense and shall not be liable for any action taken or omitted in good faith reliance upon the advice or recommendation of the legal counsel or other agent. My executor shall not be personally liable for acts or omissions done in good faith. My executor shall have power to inspect and monitor businesses and real property (whether held directly or through a partnership, corporation, trust or other entity) for environmental conditions or possible violations of environmental laws; to remediate environmentally damaged property or to take steps to prevent environmental damage in the future, even if no action by public or private parties is currently pending or threatened; to abandon or refuse to accept property which may have environmental damage; my executor may expend estate funds to do the foregoing, and no action or failure to act by my executor pursuant to this power shall be subject to question by any beneficiary. The foregoing powers shall be exercised by my executor without authorization by any court and, as to property subject to administration outside the state of my domicile, only with the approval of my domiciliary executor. No bond or security shall be required of any executor wherever acting. If permitted by law and if not inconsistent with the best interests of the beneficiaries as determined by my executor, the administration of my estate shall be independent of the supervision of any court. EXECUTOR POWERS 2004, Northern Trust Corporation 112-7

112-8

FORM 112 (continued) The headings in this will are for convenience of reference only and shall not be considered in the interpretation of this will. HEADINGS [ Note to drafting attorney: As needed, modify the following Testimonium, Attestation and Affidavit to satisfy the legal requirements and customary practice of the state in which the testator resides. ] IN WITNESS WHEREOF I have signed this will, consisting of pages, [this][the following] page included, and for the purpose of identification have placed my initials at the foot of each preceding page, this day of, 20. TESTIMONIUM We certify that the above instrument was on the date thereof signed and declared by JOHN DOE as his will in our presence and that we, at his request and in his presence and in the presence of each other, have signed our names as witnesses thereto, believing JOHN DOE to be of sound mind and memory at the time of signing. ATTESTATION Residing at Residing at Residing at 2004, Northern Trust Corporation 112-9

112-10

FORM 112 (continued) STATE OF COUNTY OF We, the undersigned, being the testator and the witnesses, respectively, whose names are signed to the foregoing instrument, and being first duly sworn, do hereby declare to the undersigned authority that the testator signed and executed the instrument as his will and that he signed willingly, and that he executed it as his free and voluntary act for the purposes therein expressed; and that each of the witnesses, in the presence and hearing of the testator, signed the will as a witness and that to the best of his or her knowledge the testator was at that time of legal age, of sound mind and under no constraint or undue influence. AFFIDAVIT TESTATOR WITNESS WITNESS WITNESS Subscribed, sworn to and acknowledged before me by JOHN DOE, the testator, and subscribed and sworn to before me by each of the above witnesses, this day of, 20. NOTARY PUBLIC My commission expires 2004, Northern Trust Corporation 112-11