State of New Jersey Docket No.: _____________ Salem County Surrogate’s Court In the matter of the Estate of: ___________________________________________, Deceased AKA: _____________________________________ } RENUNCIATION OF TRUSTEE To: Nicki A. Burke, Surrogate of the County of Salem: Whereas, Deceased, late ______________________ in the County of _____________________ died leaving a Will dated _________ and naming __________________________________, Trustee thereof. Now be it known _____________________________________, hereby renounces the said trusteeship and refuses to take upon himself/herself/itself the burden of the same. Signed in the presence of Signature Witness Signature STATE OF NEW JERSEY COUNTY OF SALEM } SS. Be it remembered, that on this, ______/______/20___, before me, undersigned authority, personally appeared ___________________, who I am satisfied is the person in the foregoing instrument, to whom I first made known the contents thereof, and thereupon they acknowledged that they signed, sealed and delivered the same as their act and deed, for the uses and purposes therein expressed. __________________________________________________ Notary Public of the State of New Jersey My Commission Expires: ____________________________ Affix Seal TR.DOC Page 1 of 1 American LegalNet, Inc. www.FormsWorkflow.com