Docket No.: ______________ Essex County Surrogate's Court THEODORE N. STEPHENS, II SURROGATE Hall of Records, Room 206 Newark, New Jersey 07102 Phone: 973-621-4900 Fax: 973-621-2654 DEVERO D. MCDOUGAL DEPUTY SURROGATE State of New Jersey In the matter of the Estate of: _____________________________________, Deceased AKA: _______________________________ } POWER OF ATTORNEY EXECUTOR 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 Theodore N. Stephens II, Surrogate of the County of Essex, in the State of New Jersey, and their 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/rix. 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. __ Signature STATE OF NEW JERSEY COUNTY OF ESSEX }SS. BE IT REMEMBERED, that on this, _________________, before me, the subscriber, a Notary Public of ______________________, personally appeared _________________________ who I am satisfied is the person named in the foregoing power of attorney, and I having first made known to them the contents thereof, they did thereupon acknowledge that they signed, sealed and delivered the said power of attorney as their voluntary act and deed, for the uses and purposes therein expressed. ______________________________________________ Notary Public of the State of ___________________________ My Commission Expirees________________ Affix Seal 2 POA Executor American LegalNet, Inc. www.FormsWorkFlow.com Page 1 of 1