COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : State of New Jersey : Docket Index No. No.: ______________ Calendar No. Essex County Surrogate’s Court SUBPOENA JUDICIAL Plaintiff(s) -against- : : In the matter of the Estate of: : : ___________________________________________, Deceased AKA: _____________________________________ RENUNCIATION OF ADMINISTRATOR } Defendant(s) : ...................................................... AD PROSEQUENDUM To: Joseph P. Brennan, Jr., Surrogate of the County of Essex THE PEOPLE OF THE STATE OF NEW YORK TO I, ___________________________, ____________________ of the above decedent, late of _______________ in the County of Essex do hereby renounce my right of Administration Ad Prosequendum, and request the appointment of ___________________________________. GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of Dated: ____/____/20__ _______________________________________ Signatureat in room , on the day of , 20 , 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 Notary Public 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 STATE OF NEW JERSEY comply. COUNTY OF ESSEX Court in Witness, Honorable County, } SS. , one of the Justices of the day of , 20 Be it remembered, that on this ______/______/20___, before me, undersigned authority, personally appeared ___________________________________, who I am satisfied is the person named in the foregoing instrument, to whom I first made known the contents thereof, and thereupon they(Attorney must sign above and type name below) and acknowledged that they signed, sealed delivered the same as their voluntary act and deed, for the uses and purposes therein expressed. Attorney(s) for __________________________________________________ Notary Public Office and P.O. Address My Commission Expires: ____________________ Affix Seal F5.DOC Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: Page 1 of 1 American LegalNet, Inc. www.USCourtForms.com