Founder (name, alias, previous name, gender, date of birth, nationality, occupation, service place, residence, residence, citizenship number).

For {\\ lang 1033 ,}

1. Name, amount, value and characteristics of the property owned by the testator: ×××××

Two. Opinions of the testator on the handling of all property: ×××××

Three. Other notes: ×××××

This will is made in the form of ×××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××××

Place of making will: ×××

Time of making a will: ××× year × month × day × month × day × month × day × month × day × month × day × month × day × month × day × month × day × month × day × month × day × month × day × month × month × day × month × month × day × month × month × month × month × month × day × month × month × month × month × month × month × month

Testator (signature and right index finger fingerprint)

Witness (signature, no less than two, no interest)

Signed by ××× (signature)

* * * * Year * * Month * * Day

Legal basis: Article 134 of the Civil Law states that a self-written will is written by the testator, signed and marked with the year, month and day.