Docket No.: State of New Jersey Essex County Surrogate's Court THEODORE N. STEPHENS, II SURROGATE Hall of Records, Room 206 Newark, New Jersey 07102 Phone 973-621-4900 Fax 973-621-2647 DEVERO D. MCDOUGAL DEPUTY SURROGATE In the matter of the Estate of: _____________________________, Deceased AKA: _______________________ CONSENT TO NEXT-OF-KIN To: Theodore N. Stephens, II, Surrogate of the County of Essex: I, in the city/town of , residing at and state of of the above decedent, who died intestate. , , am the I do hereby consent to having , the of said decedent execute the necessary Affidavit of Next of Kin in order to collect and receive the decedent's personal assets for the benefit of and distribution to all remaining heirs and creditors according to the estate and probate laws of the State of New Jersey. I understand that the next-of-kin to whom I am giving consent has sworn or affirmed that the decedent leaves no surviving spouse or domestic partner and that the estate does not exceed $20,000.00. Therefore, he/she will be permitted to collect and administer said estate without having to post a bond. Signature *Copy of government issued picture I.D.* Subscribed and sworn to before me this day of , 20 . Notary Public or Attorney at Law of New Jersey American LegalNet, Inc. www.FormsWorkFlow.com