Materials Provided by David Rubin

LAST WILL AND TESTAMENT

OF
**

Dated: __________, 2010

Prepared by:
David A. Rubin, Esq.
1001 Craig Road, Suite 260
St. Louis, MO 63146
314-569-9859

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LAST WILL AND TESTAMENT

OF
***
I, **, also known as **, a resident of and domiciled in the County of St. Louis,
Missouri, make, publish and declare this to be my Last Will and Testament, revoking all wills
and codicils at any time heretofore made by me.
I am married to **. We were married on _____________.
I have one child. The name and date of birth is:
**, born _______________
All references in my will to my child are references to **.
FIRST: I direct, but do not require, that the expenses of my last illness and
funeral, the expenses of the administration of my estate, and all estate, inheritance and similar
taxes payable with respect to property included in my estate, whether or not passing under this
will, and any interest or penalties thereon, shall be paid out of my residuary estate, without
apportionment and with no right of reimbursement from any recipient of any such property.
SECOND: I give and bequeath all tangible personal property owned by me at the
time of my death, including without limitation personal effects, clothing, jewelry, furniture, furnishings, household goods, automobiles and other vehicles, and all rights that I have under any
related insurance policies, to my wife **, if she survives me, or if she does not survive me, in
accordance with a written statement or list which I intend to prepare and sign, disposing of such
property or any part thereof, as permitted by Missouri law. If I sign more than one such
statement or list, the statement or list which bears a date later than that of any other such
statement or list shall govern. I intend to leave such a statement or list at my death, but if no
such statement or list is found and identified as such by my personal representative within thirty
days after the probate of this will, any such statement or list thereafter found shall be deemed
null and void. In the absence of such a statement or list, or to the extent that such statement or
list fails to effectively dispose of any such property for any reason, including the death of any
beneficiary, I give and bequeath such property or the portion not effectively disposed of in
accordance with the residuary provisions of this Will, as set out below.

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THIRD: I give, devise and bequeath all the rest, residue and remainder of my
property and estate, both real and personal, of whatever kind and wherever located, that I own or
to which I shall be in any manner entitled at the time of my death (collectively referred to as my
"residuary estate"), as follows:
(a) If my wife ** survives me, to my wife outright.
(b) If my wife does not survive me, then to my son/daughter if he/she survives
me, or if he/she does not survive me to any then living issue of my son/daughter,
in equal shares per stirpes.
(c) If my wife does not survive me and there shall be no issue of mine then
living, I give, devise and bequeath my residuary estate to those who would take
from me as if I were then to die without a will, unmarried and the absolute owner
of my residuary estate, and a resident of the State of Missouri.
FOURTH: If any property of my estate vests in absolute ownership in a minor or
incompetent, my personal representative, at any time and without court authorization, may:
distribute the whole or any part of such property to the beneficiary; or use the whole or any part
for the health, education, maintenance and support of the beneficiary; or distribute the whole or
any part to a guardian, committee or other legal representative of the beneficiary, or to a
custodian for the beneficiary under any gifts to minors or transfers to minors act, or to the person
or persons with whom the beneficiary resides. Evidence of any such distribution or the receipt
therefor executed by the person to whom the distribution is made shall be a full discharge of my
personal representative from any liability with respect thereto, even though my personal
representative may be such person. If such beneficiary is a minor, my personal representative
may defer the distribution of the whole or any part of such property until the beneficiary attains
the age of twenty-one (21) years, and may hold the same as a separate fund for the beneficiary
with all of the powers described in Article SIXTH hereof. If the beneficiary dies before attaining
said age, any balance shall be paid and distributed to the estate of the beneficiary.
FIFTH: I appoint my wife ** to be my personal representative. If my wife does
not survive me, or shall fail to qualify for any reason as my personal representative, or having
qualified shall die, resign or cease to act for any reason as my personal representative, I appoint
** as my personal representative. If my estate is administered in the State of Missouri, I
authorize my personal representative to administer my estate independently pursuant to the
provisions of the laws of Missouri. The decision to administer my estate independently or under
court supervision shall be made solely by my personal representative. I direct that no personal
representative shall be required to file or furnish any bond, surety or other security in any
jurisdiction.
SIXTH: I grant to my personal representative all powers conferred upon personal
representatives and executors wherever my personal representative may act. I also grant to my
personal representative power to retain, sell at public or private sale, exchange, grant options on,
invest and reinvest, and otherwise deal with any kind of property, real or personal, for cash or on
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credit; to borrow money and encumber or pledge any property to secure loans; to exercise all
powers of an absolute owner of property; to compromise and release claims with or without
consideration; and to employ attorneys, accountants and other persons for services or advice.
The term "personal representative" wherever used herein shall mean the personal representatives,
executors, executor, executrix or administrator in office from time to time.
SEVENTH: I direct that for purposes of this will a beneficiary shall be deemed
to predecease me unless such beneficiary survives me by more than thirty days. If my wife and I
die under circumstances in which the order of our deaths cannot be established, my wife shall be
deemed to have survived me.
EIGHTH: My personal representative shall have all the power and authority
necessary to authorize an autopsy, make a disposition of a part or parts of my body and direct the
disposition of my remains.
IN WITNESS WHEREOF, I, **, sign my name and publish and declare this
instrument (consisting of __ pages, including this page) as my last will and testament this ___
day of ______, 2010. I also have affixed my initials on the bottom of each of the preceding
pages hereof.
___________________________________
**, Testator

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The foregoing instrument was signed, published and declared by **, the abovenamed Testator, to be his last will and testament in our presence, all being present at the same
time, and we, at his request and in his presence and in the presence of each other, have
subscribed our names as witnesses on the date above written.

______________________________________
residing at
_________________________________
_________________________________

______________________________________
residing at
_________________________________
_________________________________

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AFFIDAVIT
STATE OF MISSOURI
COUNTY OF ST. LOUIS

)
) ss.
)

I, the undersigned, an officer authorized to administer oaths, certify that **, the
Testator, and _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ , the witnesses, whose names are subscribed to the attached
or foregoing instrument, having appeared together before me and first having been duly sworn,
each then declared to me that the Testator signed and executed the instrument as his last will and
testament, and that he had willingly made and executed it as his free and voluntary act and deed
for the purposes therein expressed; and that each of the witnesses, in the presence and hearing of
the Testator and each other, and at the request of the Testator, signed the will as witnesses; and to
the best of their knowledge the Testator was at the time at least eighteen years of age, and was of
sound mind and under no constraint, duress, fraud or undue influence; and that each of said
witnesses was then at least eighteen years of age.
IN WITNESS WHEREOF, I have hereunto subscribed my name and official
seal.
_____________________________________
David A. Rubin
Notary Public
Commissioned in St. Louis County, Missouri

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PERSONAL PROPERTY MEMORANDUM

THE SEPARATE WRITING REGARDING TANGIBLE PERSONAL PROPERTY
REFERRED TO IN MY LAST WILL AND TESTAMENT
I, **, hereby provide that, if my wife shall not survive me, the following items of
tangible personal property shall be given to the beneficiaries identified below upon my death:
Items of Property

Names and Addresses of Beneficiaries

___________________________________

____________________________________

___________________________________

____________________________________

___________________________________

____________________________________

___________________________________

____________________________________

___________________________________

____________________________________

___________________________________

____________________________________

___________________________________

____________________________________

___________________________________

____________________________________

___________________________________

____________________________________

___________________________________

____________________________________

___________________________________

____________________________________

___________________________________

____________________________________

___________________________________

____________________________________

Dated: _____________________________
____________________________________
**
PLEASE NOTE: You should clearly describe each item of personal property. You may not use
this instrument to dispose of property used in a trade or business or cash, evidence of debt,
documents of title, securities or other intangible personal property. To avoid being lost or
misplaced, this instrument should be kept with the original of your Will.

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