LAST WILL AND TESTAMENT

KNOW ALL MEN BY THESE PRESENTS:

           I, _____________________, of legal age single / married to ____________________ , native of

_________________ , having been born on the _______________ day of ______________ , 19
___________ , now actually residing at _______________ , being of sound and disposing and mind
memory, and not acting under undue influence, violence, fraud, intimidation of whatever kind, do by these
presents declare this to be my Last Will and Testament which I have caused to be written in English, the
language which is known to me. And I hereby declare that: 

           I. I desire that my remains be buried according to the rites of the Roman Catholic Church and with
dignity suitable to my circumstances;

           II. I give and bequeath to my wife _________________ , the following property to
wit:______________ ; 

           III. I give and bequeath to my children ____________________ , and _______________ in equal
shares, all my other property, real and personal, whatsoever and where so ever located; 

           IV. I designate____________________ the sole executor of this my last Will and Testament, and
in his default or incapacity to act, my son ____________________ , and in default or incapacity of the
latter to act, one of my other children in the order of priority in age, if of age; 

           V. I hereby direct that the executor name herein or his lawful substitute should serve without bond; 

           VI. I hereby revoke any and all my other wills, codicils, or testamentary dispositions heretofore
executed, signed, or published, or alleged executed signed or published, by me. 

           IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of _______________ in
___________. 

___________________________
Signature of Donor

ATTESTATION CLAUSE

           (If the Attestation Clause is in a language not known to the witnesses, it shall be interpreted to
them. The attestation need not be in the language known to the attesting witnesses, but the will must be
in the language known to the testator, it may be in Tagalog.) 

           WE, the undersigned attesting witnesses, whose residences are stated opposite our respective
names, do hereby certify: That the testator, ____________ has published unto us the foregoing will
consisting of ________ pages numbered correlatively in letters in the upper part of each page, as his/her
Last Will and Testament and has signed the same and every page thereof, on the left margin, in our
presence and we, in turn, at his/her request have witnessed and signed the same in every page thereof,
on the left margin, in the presence of the testator and in the presence of each and all of us.
__________________________            __________________________
Signature of Witness                                Residence
__________________________            __________________________
Signature of Witness                                Residence
__________________________            __________________________
Signature of Witness                                Residence

JOINT ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES)

CITY OF ____________________ ) S.S.

           BEFORE ME, this ___ day of _________, 20__ in the City/Municipality of _____________,

Province of ___________, Philippines, personally appeared:

The testator ___________, with Driver's License No. __________ expiring on

____________________; 

Witness, ____________, with Driver's License No. __________ expiring on

 ____________________; 

Witness, ____________, with Driver's License No. __________ expiring on

____________________; 

Witness, ____________, with Driver's License No. __________ expiring on

____________________; 

           all known to me to be the same persons who signed the foregoing Will, the first as testator and the
last three as instrumental witnesses, and they respectively acknowledged to me that they signed the
same as their own free act and deed. 

           This will consists of ______ pages, including the page on which this acknowledgment is written,
and has been signed on the left margin of each and every page thereof by the testator and his witnesses,
and sealed with my notarial seal. 

           IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial seal, on the day,
year, and place above written. 

Name: ___________________________
Notary Public for [Municipality/City/Province]
Office Address of Notary Public _____
Appointment No. _____ Until [date][year]
Roll of Attorneys No. _____
PTR No. ______; [date issued][place issued]
IBP No. ______; [date issued][Chapter]

Doc. No. ____;

Page No. ____;
Book No. ____;
Series of 2013.