Docket No.: State of New Jersey Essex County Surrogate222s Court Hall of Records, Room 206 DEVERO D. MCDOUGAL SURROGATE Newark, New Jersey 07102 DEPUTY SURROGATE Phone 973-621-4900 Fax 973-621-2647 In the matter of the Estate of: , Deceased POWER OF ATTORNEY AKA: KNOW ALL MEN BY THESE PRESENTS, that I, , residing at , , Pursuant to the provisions of Revised Statutes 3B:14-47 do hereby make, constitute and appoint , Surrogate of the County of Essex, in the State of New Jersey, and his successors in office, my true and lawful attorney upon whom may be served any and all process affecting the aforesaid estate, or any interest therein, whereof I am the Executor/trix Administrator/trix Trustee Affiant And I do further agree that any process against the aforesaid estate, so served, shall be of the same force and effect as if duly served upon me within this State. IN WITNESS WHEREOF, I have hereunto set my hand and seal this day of , 20. Signed, sealed and delivered in the presence of: Signature Witness State of New Jersey } ss County of Essex BE IT REMEMBERED, that on this day of , 20 before me, the subscriber, a Notary Public or Attorney of the State of New Jersey, personally appeared who I am satisfied is the person in the foregoing Power of Attorney named, and I have first made known to him/her the contents thereof, he/she did thereupon acknowledge that he/she signed, sealed and delivered the said Power of Attorney as his/her voluntary act and deed for the uses and purposes therein expressed. Notary Public or Attorney American LegalNet, Inc. www.FormsWorkFlow.com