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Application For Administration Ad Prosequendum Form. This is a New Jersey form and can be use in Essex Local County.
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Tags: Application For Administration Ad Prosequendum, F1, New Jersey Local County, Essex
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
State of New Jersey
:
Docket No.: _____________
Index 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)
:
......................................................
____________________________________________________, Deceased
AKA: ______________________________________________
PATRICIA A. TRABUCCO
DEPUTY SURROGATE
}
APPLICATION
ADMINISTRATION
AD PROSEQUENDUM
THE PEOPLE OF THE STATE OF NEW YORK
Applicant (s) ________________________________, ____________________ at ________________________________________
TO
______________________________________________________________________SSN: ________________________________
Says:
1. Decedent late of _______________________________, ____________ _________, departed this life on ____________, intestate.
GREETINGS:
2. The spouse and next of kin of the decedent, with their respective addresses, and the manner and degree in which they severally
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
stand related to the deceased are as follows:
,
the Honorable
at the
Court
Name
Relationship
Residence
Age of all Minors
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
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 adult a, whose right to Administration Ad Prosequendum is
prior or equal to that of the Applicant(s), have renounced their right thereto and requested that the same beand type name below)
(Attorney must sign above granted to the Applicant(s).
5. The death of the said ____________________________ was caused by the wrongful act, neglect or default of _________________
_______________________________________________________ or some other person or persons.
Attorney(s) for
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 their death brought or made under
the statute in such cases provided.
Office and P.O. Address
Dated: ____/____/____, at Newark, New Jersey
Signature
F1
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
Page 1 of 2
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
: Docket No.: ____________________
Index No.
STATE OF NEW JERSEY
COUNTY OF ESSEX
:
}
Calendar No.
:
JUDICIAL SUBPOENA
SS.
Plaintiff(s)
___________________________________, being duly sworn, says; I am/we are the Applicant(s) in the foregoing application named.
-against-
:
The allegations thereof are true to the best of my/our knowledge and belief.
:
Sworn and subscribed before me on:
:
____/____/20__
Defendant(s)
Signature
:
......................................................
Notary Public of the State of New Jersey
THE PEOPLE OF THE STATE OF NEW YORK
My Commission Expires: _____________________
TO
Affix Seal
STATE OF NEW JERSEY
COUNTYGREETINGS:
OF ESSEX
}
QUALIFICATION
SS.
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
1. ________________________ died on orlocated at
about _________________ without a Will so far as I know and verily believe.
County of
in well and
, on the
20
, at
2. I will room truly performthe duties day of
of Administrator/rix ,Ad Prosequendum ofo'clock in the
the said deceased. noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
___________________________________________, being duly sworn, say(s);
Sworn and subscribed before me on:
____/____/20__
Your failure to comply with this subpoena isSignature
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.
_______________________________
Special Probate Clerk
Court in
Witness, Honorable
County,
, one of the Justices of the
day of
, 20
Attorney of Record:
____________________________
(Attorney must sign above and type name below)
____________________________
____________________________
____________________________
Attorney(s) for
Office and P.O. Address
F1
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
Page 2 of 2
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