State of New Jersey Ocean County Surrogate’s Court To the Surrogate of the County of Ocean State of New Jersey Renunciation for Sub-Administration BE IT KNOWN, that I,______________________________________________next of kin of ____________________________________________________________________, deceased late of ____________________ in said County of Ocean, do hereby renounce all right and claim to Substituted Administration of the goods, chattels and credits, and request that appointment as Substituted Administratrix/or 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 American LegalNet, Inc. www.FormsWorkflow.com