, LexisNexis(R) Forms FORM 737-2.220

Summary

IN WITNESS WHEREOF, I, [name of person signing on testator’s behalf ], at the request and express direction and in the presence of the Testator, [name of testator ], the Testator having declared [his or her] physical inability to sign [his or her] name or to make [his or her] mark and having declared this instrument to be [his or her] Last Will, sign the name of the Testator, in the presence of the undersigned witnesses, this [date ].

Signed and declared, as and for the Last Will of the above-named Testator, [name of testator ], in the presence of us and each of us, who, at the Testator’s request and in the Testator’s presence, have subscribed our names as witnesses the day and year last above written.