I, residing at the undersigned, hereby admit with the effect of an admission in front of a duly constituted Bais Din (‘Bais Din Chashuv’) that : All my assets [after deducting the needs for funeral expenses etc. and for payment of my debts], including but not limited to real estate, moveable items, bank accounts, stocks, bonds, shares and debts owed to me, as well as any other items that will be in my possession a moment before by demise, should be given over to the possession of my children consisting of boys ( a halachic Bechor) and girls divided equally and Shall be distributed as follows: divided equally with the exclusion of $10,000 worth of movable objects or real-estate which I bequeath exclusively to my halachic heirs in accordance to the torah law. If my wife Mrs. survives me, she shall receive: additionally The aforementioned guidelines should only govern until I make another document with instructions, final Will or Tzava’ah, at which point that should govern [and if eventually I will update that will, the final will should govern].In order to give halachic validity to the above instructions [or to the instructions in the final document etc.], I have obligated myself [provided that I do not retract this debt], to pay the sum of $ million USD to my wife [provided that she survives me and we are married a moment before my demise] and to each of my daughters [or if they aren’t around, to their children],distributed evenly between all of them,payable a moment before my death. This obligation was created with a valid Kinyan Sudder, effective immediately, in the presence of a Bais Din Chashuv in a manner most effective in Halachah as a publicized gift (Matanah Gluyoh u’Mefursemes). I also encumbered, in a manner most effective in Halachah, all assets, both moveable and real, that I presently own and those that I may acquire, to pay this debt.
Notwithstanding the foregoing, this obligation shall be rendered null and void if the wishes expressed above are carried out and none of my heirs contest the disposition of my property set forth therein regarding any benefit that said Will benefits the beneficiaries named in the Will. However, if some of my heirs reject the Will [after they became aware of this document], I have conditioned with the beneficiaries of the debt that they will distribute the above mentioned assets between all beneficiaries of this Will who do not reject the Will, their share of the Will and the portion of the one who objected shall be distributed to the other beneficiaries using the same formula above. This was executed in a manner consistent with all the halachic requirements concerning the formation of conditions known as Tnay Bnei Gad U’Bnei Reuvain. I admit that all this was consummated with a valid Kinyan Sudder, effective immediately, in front of a duly constituted Bais Din in the manner most effective in Halachah. I, irrevocably and without time limit, accept upon myself and my heirs, even if they are minors, the testimony of any Obligee or their heirs, regarding the validity, lack of payment, or waiver of the said obligation, with the same effect as testimony from two qualified witnesses, without the need of any form of verification, including, an oath, cheirem or hin tzedek, even after payment is made, unless I or my heirs present halachically determinative proof to the contrary. I accept as binding the position of any halachic authority, even if in the minority and not generally accepted, that most broadly supports the validity of this document and its implied intent. All terminology in this document shall be interpreted in the manner that most broadly supports the validity of this document and its implied intent. This document shall constitute full evidence even if it be found in my possession and not yet released from my hand. On all this, I admit with the effect as an admission in front of a duly constituted Bais Din in a manner that is not an Asmachta, but with the intent of a valid and binding commitment and is an enforceable legal instrument. On all this I affix my signature on this day of .This is all valid and in good standing.

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