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State of New Jersey THEODORE N. STEPHENS, II SURROGATE Hall of Records, Room 206 Newark, New Jersey 07102 Phone: 973-621-4900 Fax: 973-621-2647 Docket No.: _______________ Essex County Surrogate's Court DEVERO D. MCDOUGAL DEPUTY SURROGATE In the matter of the Estate of: ________________________________________, Deceased AKA: __________________________________ Applicant (s) } APPLICATION PROBATE NON-RESIDENT __________________________, __________________________ at ____________________________________ ____________________________________________________________________SSN: _________________________________ Says: 1. On _______________, Decedent died leaving a Will dated ___________________, and/or Codicils dated wherin applicant(s) was appointed Executor/rix. 2. The said decedent was domiciled in the County of ____________________ and State of _________________________, at the time of death having a residence at __________________________________________________________________________________ 3. The said decedent died owning real estate and/or personal estate in the County of Essex, State of New Jersey, and no proceeding is pending for the probate of the Will and/or codicils in the decedent's State of residence or any other jurisdiction, nor has said Will and or codicils been admitted to probate in that State or any other jurisdiction. 4. Decedent left surviving as spouse, heirs at law and next of kin, the following persons: Name Relationship Residence Age of all Minors 5. There are no other heirs at law or next of kin known to the applicant. APPLICATION - NON RESIDENT Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com Application Probate Non-Resident Docket No.: ________________ Wherefore, the applicant(s) ______________________________ demands judgment admitting to probate the said Will and/or codicils and directing that Letters Testamentary be granted to Applicants(s). STATE OF COUNTY OF }SS. Applicant(s) being duly sworn, according to law, upon oath deposes and says that as the applicant(s) in the foregoing complaint that the matters and things therein contained are true to the best of applicant(s) knowledge and belief. Subscribed and sworn to before me this day of , 20 ____________________________ Signature A Notary Public of the State of ____________________________ My Commission Expires: _____________________ Affix Seal Attorney of Record: ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ APPLICATION - NON RESIDENT Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com