COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.MERCER COUNTY SURROGATE'S COURT Diane Gerofsky, Surrogate INFORMATION SHEET FOR ADMINISTRATIONJUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)Circle the type of proceedings sought:1. General Administration Only 2. Administration Ad Prosequendum Only 3. Both General Administration and Administration Ad Prosequendum NAME OF DECEASED: Date of Death:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .THE PEOPLE OF THE STATE OF NEW YORK TOResidence of Deceased at Time of Death: (Indicate borough, township, town or city or county) NAME OF PERSON SEEKING TO QUALIFY AS ADMINISTRATOR/TRIX:Address of Administrator/trix:GREETINGS:Attorney of Record: Telephone:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the HonorableAddress:,located at County ofSPOUSE AND NEXT OF KINo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomNAMEADDRESSRELATIONSHIP TO DECEASEDAGE IF UNDER 18Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply., one of the Justices of theCourt in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)Names of all adult persons whose right to administration is prior or equal to that of applicant and who will sign renunciations in favor of the applicant:Attorney(s) forOffice and P.O. AddressApproximate Value of Personal Property Passing by Intestacy (exclude assets that pass outside of the Estate): $Approximate Value of Real Property Passing by Intestacy (exclude assets that pass outside of the Estate): $ Administration Ad Prosequendum is sought: The decedent's death was caused by the wrongful act, neglect or default of:Telephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.comCOURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.Rule to Bar Creditors? (Yes) (No) JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)Number of Short Certificates requested:Date you wish Administrator/trix to qualify:Is the administrator/trix appearing in the Trenton office to do administration?(Yes) (No). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Is the administrator/trix appearing at a satellite office? (Yes) (No)THE PEOPLE OF THE STATE OF NEW YORK TOLawrence Satellite Ewing Satellite Hamilton Satellite Pennington Stellite E Windsor Satellite Princeton Twp Satellite PLEASE NOTE: Before making your appointment with the Surrogate's Court, kindly return this sheet together with a copy of the Death Certificate to this office:GREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,MERCER COUNTY SURROGATE'S COURT P.O. BOX 8068 TRENTON, NEW JERSEY 08650 Fax: (609) 278-1242 Phone: (609) 989-6331 E-Mail Diane Gerofskylocated at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomYour failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply., one of the Justices of theCourt in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)Attorney(s) forOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:Mobile Tel. No.:American LegalNet, Inc. www.USCourtForms.com
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