Okla. Stat. tit. 84, § 84-855

will.

The authorized person shall attach to the will a certificate to

be signed by the authorized person establishing that the

requirements of the Uniform International Wills Act 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 in that of witnesses

1. ___________________ (name, address, date and place of birth)

2. ___________________ (name, address, date and place of birth)

has declared that the attached document is the will of the testator

and that the testator knows the contents thereof.

I furthermore certify that:

1. In my presence and in that of the witnesses

a. the testator has signed the will or has acknowledged

the signature of the testator previously affixed.

b. following a declaration of the testator stating that

the testator was unable to sign the will for the

Oklahoma Statutes - Title 84. Wills and Succession Page 49

following reason ______________________, I have

mentioned this declaration on the will

*and the signature has been affixed by

______________________ (name and address);

2. The witnesses and I have signed the will;

3. Each page of the will has been signed by _________________

and numbered;

4. I have satisfied myself as to the identity of the testator

and of the witnesses as designated above;

5. The witnesses met the conditions requisite to act as such

according to the law under which I am acting;

6. The testator has requested me to include the following

statement concerning the safekeeping of the will of the testator:

Place of Execution ______________________________________

Date ____________________________________________________

Signature _______________________________________________

and, if necessary, SEAL

*to be completed if appropriate