Docket No.: _____________ State of New Jersey Camden County Surrogates Court In the matter of the Estate of: CONSENT OF } ___________________________________________, Deceased HEIR AKA: _____________________________________ To: Patricia Egan Jones, Surrogate of the County of Camden Name Relationship Residence Age of all Minors The heirs of Decedent_Name who died intestate, hereby consent to having ________________________ a ______________ of said decedent executed the necessary affidavit in order to collect the estate of said ____________________________ which does not exceed ten thousand ($10,000.00), for the heirs and creditors of said estate. Signed, sealed and delivered in the presence of: _______________________________________ ___________________________________ _______________________________________ _______________________________________ _______________________________________ } _______________________________________ _______________________________________ G3 Page 1 of 1 American LegalNet, Inc. www.USCourtForms.com