Renunciation For Administration Ad Prosequendum
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Renunciation For Administration Ad Prosequendum Form. This is a New Jersey form and can be use in Middlesex Local County.
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Tags: Renunciation For Administration Ad Prosequendum, A66, New Jersey Local County, Middlesex
State of New Jersey
Middlesex County Surrogate’s Court
In the Matter of the Estate of
RENUNCIATION FOR
ADMINISTRATION AD
PROSEQUENDUM
DOCKET No.
, Deceased
(aka:
)
To Kevin J. Hoagland, Surrogate of the County of Middlesex:
I, _____________________________________, __________________, of the above decedent, late of
Middlesex County, do hereby renounce all right and claim to Administration Ad Prosequendum to prosecute a
claim or suit for damages alleged to have accrued to the next of kin, by reason of the death of said
_______________________________________________ and request that such Administration be granted to
_______________________________________________.
Dated:
___________________________________
STATE OF NEW JERSEY
___________________________________
)
ss.:
COUNTY OF MIDDLESEX
)
Be it remembered, that on ___________________________ before me, the undersigned authority,
personally appeared____________________________________, who I am satisfied is the person named in the
foregoing instrument, to whom I first made known the contents thereof, and thereupon he/she acknowledged
that he/she signed, sealed and delivered the same as his/her act and deed, for the uses and purposes therein
expressed.
_________________________________
Notary Public
©FACSTORE, 1994 Form-A66 CASE: «case» PRINT DATE: «today»
Page 1
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