Docket No.: ______________ State of New Jersey Camden County Surrogates Court In the matter of the Estate of: APPLICATION FOR _________________________________________, Deceased } SUBSTITUTED AKA: ___________________________________ ADMINISTRATION Applicant (s) __________________________________ Residing at __________________________________ __________________________________ __________________________________ Says: ___________________________________________ 1. Decedent died intestate, resident of ____________________ in the County of Camden and State of New Jersey on _____________. 2. Decedent left surviving spouse, heirs at law and next of kin, the following persons: Name Relationship Residence Age of all Minors 3. There are no other next of kin and all the fgoing areore of full age except as indicated above. Wherefore, the applicant(s) demnda judgement granting Letters of Administration to Applicants(s) STATE OF NEW JERSEY COUNTY OF CAMDEN } SS. Applicant(s) being duly sworn, according to law, did upon othaeithr , say that the matters and things set forth in the withppinlication a are true to the best of their knowledged anbelief, that to the best of their knowledge the decedent died without a valid Will, and that the value of the entire estate, for the administration of whthichis app lication is made, will not exceed the sum of _________ dol__ lars. Subscribed and sworn to this ________ day of ________________, ________ before me E1S.DOC Page 1 of 1 American LegalNet, Inc. www.USCourtForms.com