COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : IndexDocket No.: _____________ No. State of New Jersey : Calendar No. Essex County Surrogate’s Court SUBPOENA JUDICIAL : Plaintiff(s) JOSEPH P. BRENNAN, JR. SURROGATE -against- : Hall of Records, Room 206 Newark, New Jersey 07102 : Phone: 973-621-4900 Fax: 973-621-2654 : In the matter of the Estate of: Defendant(s) : ...................................................... ______________________________________________, Deceased PATRICIA A. TRABUCCO DEPUTY SURROGATE } PROOF OF WITNESS OF CODICIL AKA: ________________________________________ THE PEOPLE OF THE STATE OF NEW YORK STATE OF NEW JERSEY TO COUNTY OF ESSEX } SS. I, ________________________________, being of full age and duly sworn upon my oath depose and say: GREETINGS: I am one of the subscribing witnesses to the purported Codicil to the Last Will aside, you and eachtheyou attend before WE COMMAND YOU, that all business and excuses being laid and Testament of of above , the Honorable at the Court located at County of in room , was at day over eighteen20 years of age, of sound mind and underat any recessed , (18) , at o'clock in the noon, and no as witness. Said testator/rix on the said timeof or adjourned date, to testify and give evidence as a witness in this action on the part of the named decedent. Said decedent willingly signed said writing in my presence, after which I subscribed my name constraint or undue influence so far as I know and believe. Signature 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 I, _________________________________________________________, the undersigned authority, do hereby result of your failure to comply. certify in the manner in which such acts are usually authenticated by me that ________________________, the Witness, Honorable , one of the Justices of the person named in the within Commission, personally appeared, before me at _________________________ this Court in County, day of 20 ________________________ and was duly sworn by me to the truth of the above deposition signed by same. (Attorney must sign above and type name below) Sworn and subscribed before me on: ______/______/______ Attorney(s) for A Notary Public of the State of ____________________________ My Commission Expires: _____________________ Office and P.O. Address Affix Seal N4.DOC Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: Page 1 of 1 American LegalNet, Inc. www.USCourtForms.com