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Application For Administration Ad Prosequendum F1 - New Jersey
| Application For Administration Ad Prosequendum Form. This is a New Jersey form and can be used in Administration Ad Prosequendum Essex Local County . |
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Docket No.: _____________ State of New Jersey Essex County Surrogate's Court THEODORE N. STEPHENS II SURROGATE Hall of Records, Room 206 Newark, New Jersey 07102 Phone: 973-621-4900 Fax: 973-621-2654 Natalynn Dunson-Harrison DEPUTY SURROGATE In the matter of the Estate of: ____________________________________________________, Deceased AKA: ______________________________________________ } APPLICATION ADMINISTRATION AD PROSEQUENDUM Applicant (s) ________________________________, ____________________ at ________________________________________ ______________________________________________________________________SSN: ________________________________ Says: 1. Decedent late of _______________________________, ____________ _________, departed this life on ____________, intestate. 2. The spouse and next of kin of the decedent, with their respective addresses, and the manner and degree in which they severally stand related to the deceased are as follows: Name Relationship Residence Age of all Minors 3. There are no other next of kin and all the foregoing are of full age except as indicated above. 4. Either due notice of this application has been given to, or, all competent adult a, whose right to Administration Ad Prosequendum is prior or equal to that of the Applicant(s), have renounced their right thereto and requested that the same be granted to the Applicant(s). 5. The death of the said ____________________________ was caused by the wrongful act, neglect or default of _________________ _______________________________________________________ or some other person or persons. Wherefore, the Applicant(s) request(s) judgment that ________________________ be appointed Administrator/rix Ad Prosequendum of the said ________________________________ to prosecute any action, proceeding or claim for their death brought or made under the statute in such cases provided. Dated: ____/____/____, at Newark, New Jersey Signature F1 Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com Docket No.: ____________________ STATE OF NEW JERSEY COUNTY OF ESSEX }SS. ___________________________________, being duly sworn, says; I am/we are the Applicant(s) in the foregoing application named. The allegations thereof are true to the best of my/our knowledge and belief. Sworn and subscribed before me on: ____/____/20__ Signature Notary Public of the State of New Jersey My Commission Expires: _____________________ Affix Seal STATE OF NEW JERSEY COUNTY OF ESSEX }SS. QUALIFICATION ___________________________________________, being duly sworn, say(s); 1. 2. ________________________ died on or about _________________ without a Will so far as I know and verily believe. I will well and truly perform the duties of Administrator/rix Ad Prosequendum of the said deceased. Sworn and subscribed before me on: ____/____/20__ Signature _______________________________ Special Probate Clerk Attorney of Record: ____________________________ ____________________________ ____________________________ ____________________________ F1 Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com
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