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ATTESTATION CLAUSE

In witness whereof, I have hereunto set my hand on this day of A.D., .


	(Signature)

The foregoing instrument was on the day of the date thereof signed, published and declared by , as, and for, his/her Last Will and Testament in the presence of us, the undersigned, who at his/her request and in his/her sight and presence and in the sight and presence of each other have hereunto subscribed our names as witnesses.


Signature of Witness	Signature of Witness


Address	Address