The authorized person shall attach to the will a certificate to be signed by the authorized person establishing that the requirements of this subchapter 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 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 witness (a) ________________________________ (name, address, date and place of birth) and (b) ________________________________________________________________ (name, address, date and place of birth) has declared that the attached document is his or her will and that he or she knows the contents thereof. ____________________________________________________ (name, address, date and place of birth) has declared that the attached document is his or her will and that he or she knows the contents thereof. I furthermore certify that: (a) In my presence and in that of the witnesses: (1) The testator has signed the will or has acknowledged his or her signature previously affixed. (2) * Following a declaration of the testator stating that he or she was unable to sign the 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 the will: ________________ PLACE OF e 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 the will: ________________ PLACE OF EXECUTION ________________________________________________________________ DATE ________ ________________________________________________________________ SIGNATURE and, if necessary, SEAL * to be completed if appropriate 71 Del. Laws, c. 81, § 2; 70 Del. Laws, c. 186, § 1;
Delaware Legal Code