Docket No.: ______________ State of New Jersey Salem County Surrogate’s Court In the matter of the Estate of: _____________________________________, Deceased } POWER OF ATTORNEY AKA: _______________________________ EXECUTOR 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. And I do further agree that any process against the aforesaid estate, so served, shall be of the same force and effect as if duly served upon me within this State. In Witness Whereof, I have hereunto set my hand and seal this ____/____/20__. __ Signature Signed, sealed and delivered in the presence of: Notary Public of the State of _______________________________ STATE OF NEW JERSEY COUNTY OF SALEM }SS. BE IT REMEMBERED, that on this, ____/____/20__, before me, the subscriber, a Notary Public of __________________________, personally appeared _________________________, who I am satisfied is the person named in the foregoing power of attorney, and I having first made known to them the contents thereof, they did thereupon acknowledge that they signed, sealed and delivered the said power of attorney as their voluntary act and deed, for the uses and purposes therein expressed. ______________________________________________ Notary Public of the State of ___________________________ My Commission Expirees________________ Affix Seal PAE.doc Page 1 of 1 American LegalNet, Inc. www.FormsWorkflow.com