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: ___________________________________________ } RENUNCIATION OF EXECUTOR To: Theodore N. Stephens II, Surrogate of the County of Essex: Whereas, Deceased, late _____________________ in the County of Essex died leaving a Will dated ________________ and naming ______________________________________________ Executor thereof. Now be it known ______________________ hereby renounces the said Executorship and refuses to take upon themself the burden of the same. Signature *Copy of government issued picture I.D. required* STATE OF NEW JERSEY COUNTY OF ESSEX } SS. Be it remembered, that on this, Date, before me, ________________________________ undersigned authority personally appeared who I am satisfied is the person in the foregoing instrument, to whom I first made known the contents thereof, and thereupon they acknowledged that they signed, sealed and delivered the same as their act and deed, for the uses and purposes therein expressed. __________________________________________________ Notary Public of the State of New Jersey My Commission Expires: ____________________________ Affix Seal 5_RENUNCIATION_EXECUTOR American LegalNet, Inc. www.FormsWorkFlow.com Page 1 of 1