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Supplemental Affidavit Of Surviving Spouse H1A - New Jersey
| Supplemental Affidavit Of Surviving Spouse Form. This is a New Jersey form and can be used in Administration 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: __________________________________________ } SUPPLEMENTAL AFFIDAVIT OF SURVIVING SPOUSE In Lieu Of Administration Where Real and Personal Estate Does Not Exceed $20,000.00 (R.S. 3B:10-3) I ___________________________________, being duly sworn according to law on oath, depose and say: 1. I reside at ________________________________________________________________________________________________ 2. I am the spouse of decedent who departed this life on or about _________________, with a residence _______________________ ___________________________________________in the County of Essex and State of New Jersey without leaving a Will; that the entire estate, both real and personal, of said decedent does not exceed the sum of twenty thousand ($20,000.00) dollars consisting of assets of the following nature, value and location: Asset Description Value Location The deponent is therefore entitled to same without Letters of Administration, in accordance with N.J.S.A. 3B: 10-3 Laws of New Jersey. Sworn and subscribed before me on: ______/______/______ _______________________________________________ Signature __________________________________ H1A.DOC Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com
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