Ocean County Surrogate's Court To the Surrogate of the County of Ocean State of New Jersey Renunciation for Administration C.T.A. State of New Jersey Be it Known, That________________________________ next of kin and/or residuary legatee of ___________________________________________late of___________________________ hereby renounce all right and claim to Administration C.T.A. of the goods, chattels and credits and request that Administration C.T.A. be granted to___________________________________. _____________________________________ Date: Signed, sealed and delivered in the presence of: ____________________________ Notary Public STATE OF NEW JERSEY COUNTY OF ss: Be it Remembered, that on _______________________ before me, the subscriber, personally appeared _______________________________ who I am satisfied is the person in the foregoing instrument named, and I having first made known to him/her the contents thereof, he/she did thereupon acknowledge that he/she signed, sealed and delivered the aforesaid instrument as his/her voluntary act and deed for the uses and purposes therein expressed. AFFIX SEAL ___________________________________ Notary Public American LegalNet, Inc. www.FormsWorkflow.com