Docket No.: ________________ State of New Jersey Salem County Surrogate’s Court In the matter of the Estate of: _____________________________________, Deceased } AUTHORIZATION TO ACCEPT SERVICE OF PROCESS AKA: ________________________________________ KNOW ALL MEN BY THESE PRESENTS, that I, _______________________________ residing at _______________________ _______________________________________________, pursuant to the provisions of Revised Statutes 3B: 14-47 do hereby make, constitute and appoint Nicki A. Burke, Surrogate of the County of Salem, in the State of New Jersey, and their successors in office, my true and lawful attorney, upon whom may be served any and all process affecting the aforesaid estate, or any interest therein, whereof I am the Executor/rix(s). And I do further agree that any process against the aforesaid estate, so served, shall be of the same effect as if duly served upon me within this State, pursuant to the provisions of N.J.S.A. 3B: 14-47. Sworn and subscribed before me on Month_Day, Year Exec_Name Signature User_Name User_Title STATE OF COUNTY OF } QUALIFICATION SS. ____________________________________________, the Executor/rix(s), being duly sworn according to law, on oath, depose(s) and say(s), that they will exhibit into the Surrogate's Court of the County of Salem when required by law a true and perfect inventory of all singular the good and chattels, rights and credits of said deceased that have or shall come to their knowledge and possession or to the possession of any other person or persons for their use; that they will comply with the provisions of all State Laws concerning Inheritance Taxes; that they will well and truly perform the duties of such Office by paying first the debts of said deceased, and then the legacies therein specified, so far as the assets of the es tate can thereunto extend, and render a just and true account when required by law. _________________________________________ Signature Sworn and subscribed before me on: ______/______/20____ A2.DOC Page 1 of 1 American LegalNet, Inc. www.FormsWorkflow.com