Form 75-Affidavit of Attesting Witness

Form 75.

O.19, r.15

AFFIDAVIT OF ATTESTING WITNESS

(As to heading, see O.19, r.3.)

On . . . , 20..., I . . . (name, address and occupation) . . . say on oath-

1. On . . . (date) . . . the document annexed and marked A was signed as now appears on the document by . . . (name) . . . the deceased as his will in the presence of me and of . . . (name of other witness) . . . present at the same time and then at the request of the deceased attested and subscribed by us in his presence and in the presence of each other.

2. The signatures . . . (set out) . . . and . . . (set out) . . . subscribed as witnesses to the will are respectively those of me and . . . (name of other witness).

Sworn at }

before me }