WE, the undersigned witnesses, do hereby affirm that the foregoing is the LAST WILL AND TESTAMENT of _____ and we hereby certify:

      That he executed the same while of sound and disposing mind and memory; That he signed the same in our presence, at the bottom of the last page and on the left hand margin of each and every page, and we, at his behest, have signed hereunder and on the left hand margin of each and every page, in his presence and in the presence of the Notary Public, this ____ day of _____, 2003 at the City of ________.

      Signature of Witness            Address

      Signature of Witness            Address

      Signature of Witness            Address

      BEFORE ME, a Notary Public in and for the City of _____, came and appeared _______with Community Tax Certificate No. ____ issued at ___ on _____, known to me and to me known to be the same person who executed the foregoing LAST WILL AND TESTAMENT, which he executed and signed in the presence of three (3) attesting witnesses, to wit: ________with Com. Tax Cert. No. ____issued at____ on ____; _________, with Com. Tax Cert. No. ______issued at ____on ____ and ________ with Com. Tax Cert. No. ____ issued at ____ on _____; That all signed their names as proof of their attestation on this page before the Testator ____ and in the presence of each and everyone of them, and they acknowledged the same to be their free and voluntary act and deed.

      The LAST WILL AND TESTAMENT consists of ___ pages, including this page on which the ratification and acknowledgment are written.

      WITNESS MY HAND AND SEAL on the ___ day of ____, 2003 at the City of _____, Philippines.