Surrogate of New Jersey Middlesex County Surrogate’s Court In the Matter of the Estate of : : : Deceased : ________________________: Co-Executor Reserving Right to Qualify Docket No. To the Surrogate of the County of Middlesex, State of New Jersey: Be it known that ___________________________, one of the Executors named in the Last Will and Testament of ____________________________, deceased, late of the County of Middlesex, State of New Jersey, do not desire to qualify at this time 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. _______________________________________ Executor Signature Subscribed and Sworn to before me on this _____day of ___________, 20 _______________________________ Notary Public American LegalNet, Inc. www.FormsWorkflow.com (AFFIX SEAL) American LegalNet, Inc. www.FormsWorkflow.com