State of New Jersey Ocean County Surrogate's Court In the Matter of the Estate of Renunciation of Executorship , deceased To the Surrogate of the County of Ocean: Whereas, Deceased, late of_______________________________ in the County of Ocean died on _________________________ , leaving a Last Will dated _______________________ , and naming________________________________________________ the Executor/rix thereof. Now be it known that _________________________________________________ hereby renounces the said executorship and refuses to take upon himself/herself the burden of the same. __________________________________ Signed in the presence of ______________________________ Notary Public STATE OF NEW JERSEY COUNTY OF ss: Be it Remembered, that on ____________________________ before me, the undersigned authority personally appeared _________________________________ who I am satisfied is the person in the foregoing instrument named, to whom I first made known the contents thereof, he/she did thereupon acknowledge that he/she signed, sealed and delivered the same as his/her act and deed, for the uses and purposes therein expressed. AFFIX SEAL _______________________________________ Notary Public American LegalNet, Inc. www.FormsWorkflow.com