Surrogate of New Jersey Middlesex County Surrogate's Court In the Matter of the Estate of: Docket No.: Co-Executor Renunciation , Deceased To the Surrogate of the County of Middlesex, State of New Jersey: Be it known that Testament of , one of the Executors named in the Last Will and , deceased, late of the County of Middlesex, State of New Jersey, do hereby renounce the said co-executorship but reserve the right to qualify at a later date. I understand that if I choose to qualify at a later date, the matter must be brought before the Superior Court, Chancery Division, Probate Part. _______________________________________ Co-Executor Signature Subscribed and sworn to before me on this _____day of , 20 _______________________________ Notary Public (AFFIX SEAL) American LegalNet, Inc. www.FormsWorkFlow.com