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 alleged Will of: ________________________________________________, Deceased } WITNESS PROOF : OTHER THAN SUBSCRIBING : AKA: __________________________________________ Defendant(s) : ...................................................... WITNESS PURSUANT TO N.J.S. 3B:3-19 The undersigned ____________________ was one of the persons present when the testator/rix, ____________________, signed the annexed writing which is purported to be the Last Will and Testament and/or Codicil of __________________, THE PEOPLE OF THE STATE OF NEW YORK the testator/rix. The undersigned _________________________ further states that the execution was also in the presence TO of the subscribing witnesses. That at the time of the doing thereof the testator/rix was of sound and disposing mind, memory and understanding as far GREETINGS: as this deponent knows and verily believes; that _________________________ and _________________________, the WE COMMAND YOU, that all business and excuses being Will was you and the of you attend before subscribing witnesses were present at the same time with this deponent when saidlaid aside, signed byeach testator/rix and , the Honorable at the Court by them published of declared as for their Last Willat Testament and/or Codicil, and that the said witnesses subscribed located and County and in room , Codicil day of , 20 , at o'clock of each noon, and at request their names to said Will and/or on the as witnesses in the presence of said testator/rix andin the other and at theany recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the of the testator/rix and said deponent also being present having knowledge of the facts relating to the proper execution of the Will and/or Codicil by the testator/rix and its attestation by the witnesses. 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. Signature Witness, Honorable Sworn and subscribed before me on: Court in County, , one of the Justices of the day of , 20 ____/____/20__ A Notary Public of the State of ____________________________ My Commission Expires: _____________________ Affix Seal (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address PWOS.DOC Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: Page 1 of 1 American LegalNet, Inc. www.USCourtForms.com