Form B-1 Filing Attorney Information or Pro Se Litigant: Name NJ Attorney ID Number Address Telephone Number In the Matter of, , An Incapacitated Person Superior Court of New Jersey Chancery Division - Probate Part County Docket Number Civil Action Certification in Support of Motion I, , am (check one): the guardian(s) the incapacitated person an interested party in the above-captioned matter. I make this certification in support of my motion to (state what you want the court to do) This motion should be granted because: (state the basis for your motion and why is should be granted. Use extra paper if necessary) I certify that the above statements made by me are true and that if any of the statements are willfully false, I am subject to punishment. Date Signature Print Name Published 02/2017, CN 12032 (How to File a Motion in a Guardianship Case) American LegalNet, Inc. www.FormsWorkFlow.com Form B-2 Certification of Service I certify that on , I sent a copy of the Notice of Motion, Certification, and proposed form of Order to the following parties by: (Check which mailing method you chose. If you sent it by both regular and certified mail, return receipt requested, check both) regular mail certified mail, return receipt requested List each party and/or interested party; use the attorney's name and address if the party and/or interested party is represented by counsel. Name Address Name Address Attorney for Date Signature Print Name Attorney for Published 02/2017, CN 12032 (How to File a Motion in a Guardianship Case) American LegalNet, Inc. www.FormsWorkFlow.com