72-2-905. Certificate. The authorized person shall attach to the will a certificate to be signed by him establishing that the requirements of this part for valid execution of an international will have been fulfilled. The authorized person shall keep a copy of the certificate and deliver another to the testator. The certificate must be substantially in the following form:
CERTIFICATE (Convention of October 26, 1973)
I, ______________ (name, address, and capacity), a person authorized to act in connection with international wills, certify that on _________ (date) at ____________ (place) (testator) _________________ (name, address, date, and place of birth) in my presence and that of the witnesses
(a) ______________ (name, address, date, and place of birth)
(b) ______________ (name, address, date, and place of birth) has declared that the attached document is his will and that he knows the contents thereof.
I furthermore certify that:
(a) in my presence and in that of the witnesses ^tfh1 (1) the testator has signed the will or has acknowledged his signature previously affixed; ^tfh1 (2) following a declaration of the testator stating that he was unable to sign his will for the following reason _________________, I have mentioned this declaration on the will, and the signature has been affixed by _______________ (name and address);
(b) the witnesses and I have signed the will;
*(c) each page of the will has been signed by _____________ and numbered;
(d) I have satisfied myself as to the identity of the testator and of the witnesses as designated above;
(e) the witnesses met the conditions requisite to act as such according to the law under which I am acting;
*(f) the testator has requested me to include the following statement concerning the safekeeping of his will:
PLACE OF EXECUTION
DATE
SIGNATURE and, if necessary, SEAL
* to be completed if appropriate
History: En. Sec. 5, Ch. 62, L. 1991.
