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(a) A will may be simultaneously executed, attested, and made self-proved by acknowledgment by the testator and affidavits of the witnesses, each made before an officer authorized to administer oaths under the laws of the state in which execution occurs and evidenced by the officer’s certificate, under official seal in substantially the following form:

I, __________, swear or affirm under penalty of perjury that, on the ____ day of _______, 20__, I requested __________ and __________ to act as witnesses to my will; that I declared to them that the document was my last will; that I signed the will in the presence of both witnesses; that they signed the will as witnesses in my presence and in the presence of each other; that the will was read and explained to me (or read by me), after being prepared and before I signed it, and it clearly and accurately expresses my wishes; and that I willingly made and executed the will as my free and voluntary act for the purposes expressed in the will.

__________

Testator

We, __________ and ___________, swear or affirm under penalty of perjury that on the ____ day of _______, 20__, _______ of the State of _______, published and declared the attached document to be his/her last will, signed the will in the presence of both of us, and requested both of us to sign the will as witnesses; that we, in compliance with his/her request, signed the will as witnesses in his/her presence and in the presence of each other; and that the testator was not acting under duress, menace, fraud, or undue influence of any person, so far as we could determine, and in our opinion was mentally capable of disposing of all his/her estate by will.

__________

Witness

__________

Witness

THE STATE OF __________

COUNTY OF __________

Subscribed, sworn to, and acknowledged before me by __________, the testator, and subscribed and sworn to before me by ___________ and ___________, witnesses, this ______ day of __________, 20_____.

(SEAL)

(Signed) __________

(Official capacity of officer)

________________

(b) An attested will may be made self-proved at any time after its execution by the acknowledgment thereof by the testator and the affidavits of the witnesses, each made before an officer authorized to administer oaths under the laws of the jurisdiction in which the acknowledgment occurs and evidenced by the officer’s certificate, under the official seal, attached or annexed to the will in substantially the following form:

YUROK RESERVATION

We, __________, __________, and __________, the testator and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare that __________ requested __________ and __________ act as witnesses to testator’s will; that testator declared to them that the document was testator’s last will; that testator signed the will in the presence of both witnesses; that they signed the will as witnesses in testator’s presence and in the presence of each other; that the will was read and explained to testator (or read by testator), after being prepared and before testator signed it, and it clearly and accurately expresses testator’s wishes; and that testator willingly made and executed the will as testator’s free and voluntary act for the purposes expressed in the will.

__________

Testator

__________

Witness

__________

Witness

Subscribed, sworn to, and acknowledged before me by __________, the testator, and subscribed and sworn to before me by __________ and __________, witnesses, this __________ day of __________, 20____.

(SEAL)

(Signed) __________

(Official capacity of officer)

________________

[Ord. 52 § 9303, amended, 4/27/2023; Ord. 50A § 9403, amended, 6/22/2017.]