立遗嘱人： 
为了            ，特请          和         作为见证人，并委托          律师事务所            律师代书遗嘱如下： 
一、遗嘱人所有的财产名称、数额、价值及特征： 
二、立遗嘱人对所有财产的处理意见： 
三、其他： 
本遗嘱一式        份，由        、       、          保存。 
立遗嘱地点： 
立遗嘱时间： 
                                                                                                              立遗嘱人： 
                                                                                                                         见证人： 
                                                                                                            代书人：××律师 
                                                                                                              ××律师事务所