ESTATE INFORMATION SHEET OCEAN COUNTY SURROGATES COURT P.O.BOX 2191 118 WASHINGTON STREET TOMS RIVER, NJ 08754-2191 Phone: 732-920-2010 Fax: 732-506-5087 ____________________________ ____________________________ ____________________________ Attorney Name of Deceased________________________________________________________________________ Date of Death_____________________________Resident________________________________________ Date of Will___________________________Pages_______Codicil Date__________________Pages______ Decs'd Social Security Number___________________________Age of Decs'd__________________ Executor/rix /Administrator/rix_______________________________________________________________ Address_________________________________________________________________________________ Social Security No._________________________Phone Number___________________________________ Co-Executor/rix/Administrator/rix____________________________________________________________ Address_________________________________________________________________________________ Social Security No._________________________Phone Number___________________________________ NEXT OF KIN RESIDENT (Town & State) RELATIONSHIP AGE OF MINORS _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ Any Children of a prior Marriage Any Stepchildren YES YES NO NO (Circle one) (Circle one) Name of Witness proving Will_______________________________________________________________ Commission sent to________________________________________________________________________ ________________________________________________________________________________________ Will there be a Trust created______________________ Out of State Property__________________________ Article and Paragraph of Trust______________________________________________________ List Assets in the Decedent's Name alone_______________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ Do you need an Administrator/rix Ad Prosequendum appointed?________ How many short certificates from this office will you need?_________ Miscellaneous Information American LegalNet, Inc. www.FormsWorkFlow.com