Probate Form - Monmouth County

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State of New Jersey
Monmouth County Surrogate’s Court
In the Matter of the Estate of
RENUNCIATION OF ADMINISTRATION
, Deceased
WITH WILL ANNEXED
(aka: )
Docket No.
To Rosemarie D. Peters, Surrogate of the County of Monmouth:
I, _______________________, ________________________ of the above decedent, late
(Name of person signing form)
(Relationship to Decedent)
of Monmouth County, do hereby renounce my right of Administration With Will Annexed,
and request the appointment of ________________________________.
(Name of person being appointed to act)
Dated: ______________________
_______________________________________
(Your Signature)
)
STATE OF NEW JERSEY
ss:
COUNTY OF MONMOUTH
)
Be it remembered, that on _______________________, before me, the undersigned
(Date)
authority, personally appeared _______________________, who I am satisfied is the person
(Name of Person Signing)
named in the foregoing instrument, to whom I first made known the contents thereof, and
thereupon he/she acknowledged that he/she signed, sealed and delivered the same as his/her act
and deed, for the uses and purposes therein expressed.
_______________________________________
(Signature of Notary)

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