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Supplemental Affidavit Of Surviving Spouse Form. This is a New Jersey form and can be use in Salem Local County.
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Tags: Supplemental Affidavit Of Surviving Spouse, H1A, New Jersey Local County, Salem
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
State of New Jersey
:
Docket
Index No. No.: ________________
Calendar No.
Salem County Surrogate’s Court SUBPOENA
JUDICIAL
:
Plaintiff(s)
-against-
:
In the matter of the Estate of:
________________________________________________, Deceased
AKA: __________________________________________
}
:
SUPPLEMENTAL
AFFIDAVIT OF SURVIVING SPOUSE
:
In Lieu Of Administration Where Real and Personal
Estate Does Not Exceed $20,000.00 (R.S. 3B:10-3)
Defendant(s)
:
......................................................
I ________________________________________________________, being duly sworn according to law on oath, depose and say:
1. I reside at ________________________________________________________________________________________________
THE of decedent who departed this life on or YORK
2. I am the spousePEOPLE OF THE STATE OF NEWabout _________________, with a residence _______________________
___________________________________________in the County of Salem and State of New Jersey without leaving a Will; that the
TO
entire estate, both real and personal, of said decedent does not exceed the sum of twenty thousand ($20,000.00) dollars consisting of
assets of the following nature, value and location:
Asset Description
Value
GREETINGS:
Location
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
Court in
Witness, Honorable
County,
, one of the Justices of the
day of
, 20
(Attorney must sign above and type name below)
The deponent is therefore entitled to same without Letters of Administration, in accordance with N.J.S.A. 3B: 10-3 Laws of New
Jersey.
Attorney(s) for
Sworn and subscribed before me on:
______/______/20___
_______________________________________________
Signature
Office and P.O. Address
__________________________________
H1A.DOC
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
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