Docket No.: _______________
State of New Jersey
Essex County Surrogate’s Court
Hall of Records, Room 206
ALTURRICK KENNEY
SURROGATE
Newark, New Jersey 07102
DEVERO D. MCDOUGAL
DEPUTY SURROGATE
Phone: 973-621-4900
Fax: 973-621-2654
In the matter of the Estate of:
_______________________________________________, Deceased
AKA: _________________________________________
}
RENUNCIATION
OF RIGHT OF
ADMINISTRATION
To: ALTURRICK KENNEY Surrogate of the County of Essex
I, ____________________________, ____________________(relative status) of the above decedent, late of
the County of Essex do hereby renounce my right and claim to administration of his/her goods, chattels and
credits, and request the appointment of ___________________________________________ as
Administratrator/trix.
Dated: ____/____/____ ___________
Signature
*Copy of government issued picture I.D. required*
Witness
STATE OF NEW JERSEY
COUNTY OF ESSEX
}SS.
Be it remembered, that on this, ____/____/20___, before me, undersigned authority, personally appeared
___________________________________, who I am satisfied are the persons in the foregoing instrument, to
whom I first made known the contents thereof, and thereupon they acknowledged that they signed, sealed and
delivered the same as their voluntary act and deed, for the uses and purposes therein expressed.
__________________________________________________
Notary Public or Attorney at Law of State of New Jersey
My Commission Expires: ____________________
Affix Seal
RENUNCIATION.DOC Page 1 of 1
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