5_RENUNCIATION_EXECUTOR Page 1 of 1
Docket No.: _______________
State of New Jersey
Essex County Surrogate’s Court
Hall of Records, Room 206
DEVERO D. MCDOUGAL
ALTURRICK KENNEY
SURROGATE
Newark, New Jersey 07102
DEPUTY SURROGATE
Phone: 973-621-4900
Fax: 973-621-2654
In the matter of the Estate of:
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RENUNCIATION
OF EXECUTOR
_________________________________________________, Deceased
AKA: ___________________________________________
To:
Altrrick Kenney, Surrogate of the County of Essex:
Whereas, Deceased, late _____________________ in the County of Essex died leaving a Will dated ________________ and naming
______________________________________________ Executor thereof.
Now be it known ______________________ hereby renounces the said Executorship and refuses to take upon themself the burden of
the same.
Signature
*Copy of government issued picture I.D. required*
STATE
OF
NEW
JERSEY
}
SS.
COUNTY OF ESSEX
Be it remembered, that on this, Date, before me, ________________________________ undersigned authority personally appeared
who I am satisfied is the person 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 of the State of New Jersey
My Commission Expires: ____________________________
Affix Seal
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