Alaska Statutes.
Title 13. Decedents' Estates, Guardianships, Transfers, and Trusts.
Chapter 12. Intestacy, Wills, and Donative Transfers
Section 915. International Will; Certificate.
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AS 13.12.915. International Will; Certificate.

The authorized person shall attach to the international will a certificate to be signed by the authorized person establishing that the requirements of AS 13.12.912 - 13.12.921 for valid execution of an international will have been complied with. The authorized person shall keep a copy of the certificate and deliver another to the testator. The certificate shall be substantially in the following form:


(Convention of October 26, 1973)

1.     I, __________ (name, address, and capacity), a person           

authorized to act in connection with international wills               

2.     certify that on __________ (date) at ________ (place)           

3.     (testator) __________ (name, address, date, and place           

of birth) in my presence and that of the witnesses                     

4.     (a) __________ (name, address, date, and place of birth)        

       (b) __________ (name, address, date, and place of birth)        

has declared that the attached document is the testator's will and that the testator knows

 the contents of the will;                                             

5.     I furthermore certify that:                                     

6.     (a) in my presence and in that of the witnesses                 

(1) the testator has signed the will or has acknowledged the testator's

signature previously affixed.                                          

* (2) following a declaration of the testator stating that the testator

was unable to sign the testator's will for the following reason        

__________, I have mentioned this declaration on the will              

*and the signature has been affixed by _________ (name and address)

7.     (b) the witnesses and I have signed the will;                   

8.     * (c) each page of the will has been signed by __________       

and numbered; 9.     (d) I have satisfied myself as to the identity of the testator  

and of the witnesses as designated above;                              

10.     (e) the witnesses met the conditions requisite to act as       

witnesses according to the law under which I am acting;                

11.     * (f) the testator has requested me to include the following   

statement concerning the safekeeping of the testator's will: ________

_____________________________________________________________________ 12.     PLACE OF EXECUTION                                             

13.     DATE                                                           

14.     SIGNATURE and, if necessary, SEAL                              

* to be completed if appropriate.                                      

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