COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : State of New Jersey : Docket Index No. No.: ______________ Calendar No. Essex County Surrogate’s Court SUBPOENA JUDICIAL : Plaintiff(s) JOSEPH P. BRENNAN, JR. SURROGATE -against- Hall of Records, Room 206 Newark, New Jersey 07102 Phone: 973-621-4900 Fax: 973-621-2654 In the matter of the Estate of: } Defendant(s) : : PATRICIA A. TRABUCCO DEPUTY SURROGATE : AFFIDAVIT OF SURVIVING SPOUSE : .................................... ....... .... ________________________________________________,.Deceased . . . . . . In Lieu Of Administration Where Real and Personal Estate Does Not Exceed $20,000.00 (R.S. 3B:10-3) AKA: __________________________________________ THE PEOPLE OF THE STATE OF NEW YORK I ___________________________________, being duly sworn according to law on oath, depose and say: TO 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 GREETINGS: 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 WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before nature, value and location: , the Honorable at the Asset Description Value Court Location located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Your 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. Court in Witness, Honorable County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) The deponent is therefore entitled to same without Letters of Administration, in accordance with N.J.S.A. 3B: 10-3 Laws of New Attorney(s) for Jersey. Sworn and subscribed before me on: ______/______/______ _______________________________________________ Office and P.O. Address Signature __________________________________ H1.DOC Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: Page 1 of 1 American LegalNet, Inc. www.USCourtForms.com