Illinois Self-Proving Affidavit
This affidavit is prepared in accordance with the requirements set forth in Illinois law, specifically 755 ILCS 5/6-3.
We, the undersigned, hereby declare the following:
- Testator's Information:
- Name: ________________________________________
- Address: ______________________________________
- Date of Birth: ________________________________
- Witnesses' Information:
- Witness 1 Name: _______________________________
- Witness 1 Address: ____________________________
- Witness 2 Name: _______________________________
- Witness 2 Address: ____________________________
- Notary's Information:
- Name: ________________________________________
- Commission Number: ___________________________
- My Commission Expires: _______________________
We affirm that on this _____ day of _______________, 20____, the Testator, __________________________, signed this instrument in our presence. We, the undersigned witnesses, affirm that we witnessed the signing, and we declare that the Testator was of sound mind and not under duress.
Signature of Testator: ______________________________
Signature of Witness 1: _____________________________
Signature of Witness 2: _____________________________
Notary Acknowledgment:
This document was acknowledged before me on the _____ day of _______________, 20____, by the Testator, ________________________.
Seal: ________________________________________________