755 ILCS 10/5

(755 ILCS 10/5) (from Ch. 110 1/2, par. 55) Sec. 5. International will; certificate. The authorized person shall attach to the will a certificate to be signed by him establishing that the requirements of this 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 (Convention of October 26, 1973) 1. I, ................... (name, address, and capacity), a person authorized to act in