Fillable Essex County Surrogates Court (Essex County Surrogate's Court)

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Essex County Surrogates Court (Essex County Surrogate's Court)

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Application - Deposit in Lieu of Full Security.doc Page 1 of 1
Docket No.: ______________
State of New Jersey
Essex County Surrogate’s Court
ALTURRICK KENNEY Hall of Records, Room 206
SURROGATE
Newark, New Jersey 07102
DEVERO D. MCDOUGAL
DEPUTY SURROGATE
Phone: 973-621-4900
Fax: 973-621-2654
In the matter of the Guardianship of
}
APPLICATION
FOR PERMISSION TO MAKE DEPOSIT
OF FUNDS IN LIEU OF PROVIDING
FULL SECURITY
______________________________________________, a Minor
AKA: ________________________________________
Applicant, _______________________, residing at ____________________________________________________________ says:
1. The applicant has instituted an action in this Court for the issuance to _________________ of Letters of Guardianship of the
above-named minor, residing at _________________________________________________________________________.
2. The said minor has an estate of $__________________
3. Wherefore, the applicant applies for an order directing that the said sum of $_____________________ be deposited with the
___________________________ subject to the control of this Court.
____________________________________________
Signature
STATE OF NEW JERSEY
}SS.
COUNTY OF ESSEX
________________________________, of full age, being duly sworn according to law, upon his/her oath deposes and says: I am the
applicant in the foregoing petition named and the allegations therein set forth are true to my own knowledge and belief.
Subscribed and sworn to before me
Date: ____/____/____
__________________________________________
Signature
__________________________________________
Notary Public of the State of New Jersey
My Commission Expires: ________________________________
Affix Seal
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ACCEPTANCE AND POWER OF ATTORNEY.DOC Page 1
of 1
Docket No.: ________________
State of New Jersey
Essex County Surrogate’s Court
In the matter of the Guardianship of
ACCEPTANCE AND
POWER OF ATTORNEY
____________________________________________________, a Minor
AKA: ______________________________________________
I, ________________________ about to be appointed by a judgment of the Surrogate of the County of Essex Guardian of the person
only of the above-named minor do hereby declare my acceptance of said Guardianship.
Signature
Dated: ______/______/______
Signed in the presence of:
Witness Signature (Attorney or Notary)
KNOW ALL MEN BY THESE PRESENTS, that I, _________________________ residing at ______________________________
___________________________________, pursuant to the provisions of Revised Statutes 3B:14-47 do hereby make, constitute and
appoint Alurrick Kenney Surrogate of the County of Essex, in the State of New Jersey, and theirs successors in office, my true and
lawful attorney upon whom may be served any and all process affecting the aforesaid estate, or any interest therein, whereof I am the
Guardian.
And I do further agree that any process against the aforesaid estate, so served, shall be of the same force and effect as if duly served
upon me within this State.
__________________________________
Signature
STATE OF NEW JERSEY
}SS.
COUNTY OF ESSEX
BE IT REMEMBERED, that on this, ____/____/____, before me, the subscriber, a Notary Public of New Jersey, personally appeared
____________________________ who I am satisfied is the person named in the foregoing power of attorney, and I having first made
known to them the contents thereof, they did thereupon acknowledge that they signed, sealed and delivered the said power of attorney
as their voluntary act and deed, for the uses and purposes therein expressed.
______________________________________________
Attorney or Notary Public of the State of New Jersey
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Guardianship of Minors Renunciation
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 Guardianship of:
_____________________________________________, a Minor
AKA: ________________________________________
}
GUARDIANSHIP
RENUNCIATION
To: ALTURRICK KENNEY, Surrogate of the County of Essex;
Be it known that the following individuals with the indicated relationships to the above-referenced of above
named minor person of the age of _____years, do hereby consent to the appointment of
___________________________ as the guardian of said minor/incapacitated person and that I do hereby waive
any right which I may have to be so appointed.
Renouncing Name (s) Relationship Signature
STATE OF NEW JERSEY
COUNTY OF ESSEX
}SS.
BE IT REMEMBERED, that on this, ____/____/____, before me undersigned authority personally appeared;
Renouncing Name (#1) Renouncing Name (#2)
who I am satisfied is/are the person(s) named 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 act
and deed, for the uses and purposes therein expressed.
__________________________________________________
Notary Public/Attorney at Law of the State of New Jersey
My Commissio
n Expires: ____________________________
Affix Seal
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Essex County Surrogates Court (Essex County Surrogate's Court)

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Completed 9 August 2021

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