New Jersey > Local County > Salem > Surrogate > Administration Ad Prosequendum
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 Surrogate Salem Local County . |
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Docket No.: ________________ State of New Jersey Salem County Surrogates Court In the matter of the Estate of: APPLICATION ____________________________________________________, Deceased } ADMINISTRATION AKA: ______________________________________________ AD PROSEQUENDUM Applicant (s) ________________________________, ____________________ at ________________________________________ __________________________________________________________________________________________________________ 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 tly hey severalstand related to the eceasedd 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 adults, whose right to Administration Ad Prosequnduem is prior or equal to that of the Applicant(s), have renounced their right thereto and requested that the same be grantepd tlicano tht(s). e Ap5. 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 teir death brought h or made under the statute in such cases provided. Dated: ____/____/20___, at ________________, New Jersey _________________________________________ Signature F1.DOC Page 1 of 2 <<<<<<<<<********>>>>>>>>>>>>> 2 Docket No.: ___________________ STATE OF NEW JERSEY COUNTY OF SALEM } SS. ___________________________________, being duly sworn, says; I am/we are the Applicant(s) in the foregoing application named. The allegations thereof are true to thbee st 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 QUALIFICATION } SS. COUNTY OF SALEM ___________________________________________, being duly sworn, say(s); 1. ________________________ died on or about _________________ without a Will so far as I know and verily believe. 2. I will well and truly perform the duties of Administrator/rix Ad Prosequendum of the said deceased. Sworn and subscribed before me on: ____/____/____ Signature ____________________________ Special Probate Clerk Attorney of Record: ____________________________ ____________________________ ____________________________ ____________________________ F1.DOC Page 2 of 2
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