Docket No.: ______________
State of New Jersey
Essex County Surrogate’s Court
ALTURRICK KENNEY Hall of Records, Room 206 DEVERO D. MCDOUGAL
SURROGATE Newark, New Jersey 07102
DEPUTY SURROGATE
Phone 973-621-4900
Fax 973-621-2647
In the matter of the Estate of:
____________________________, Deceased POWER OF ATTORNEY
AKA:
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
ALTURRICK KENNEY, Surrogate of the County of Essex, in the State of New Jersey, and his
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
____Executor/trix ____Administrator/trix ____Trustee ____Affiant
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.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this ___ day of _________, 20___.
Signed, sealed and delivered in the presence of: ____________________________
Signature
______________________________________
Witness
State of New Jersey
} ss
County of Essex
BE IT REMEMBERED, that on this __________ day of ___________________, 20_____
before me, the subscriber, a Notary Public or Attorney of the State of New Jersey, personally
appeared __________________________________ who I am satisfied is the person in the foregoing
Power of Attorney named, and I have first made known to him/her the contents thereof, he/she did
thereupon acknowledge that he/she signed, sealed and delivered the said Power of Attorney as
his/her voluntary act and deed for the uses and purposes therein expressed.
___________________________
Notary Public or Attorney
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