SURROGATE'S COURT OF THE STATE OF NEW YORK COUNTY OF ------------------------------------------------------------------------------X ACCOUNTING BY _______________________________ W AIVER OF CITATION AND CONSENT IN ACCOUNTING as the _________________________________________ File No. of the ESTATE OF _______________________________ a/k/a __________________________________________ Deceased. ------------------------------------------------------------------------------X The undersigned, being of full age, and sound m ind, residing at the address written below, having an interest in this proceeding, waives the issuance and service of citation in this proceeding, and consents to the subm ission of a decree settling the account as filed and adjusted without further notice. I acknowledge receipt of a copy of the sum m ary statem ent of account. Date Signature Print Nam e Street Address City/Town/Village Interest State/Zip STATE OF NEW YORK COUNTY OF On [INDIVIDUAL] ) ) ss.: , 20 , before m e personally appeared to m e known and known to m e to be the person described in and who executed the foregoing waiver and consent and duly acknowledged the execution thereof. [CORPORATION] to m e known, who duly swore to the foregoing instrum ent and who did say that he/she resides at and that he/she is a of the corporation/national banking association described in and which executed such instrum ent; and that he/she signed his/her nam e by order of the Board of Directors of the corporation. Notary Public Com m ission Expires: (Affix Notary Stam p or Seal) Nam e of Attorney: Address of Attorney: [Note: You m ay request a copy of the full account from the petitioner or petitioner's attorney.] Tel. No.: JA-3 (12/96) American LegalNet, Inc. www.FormsWorkFlow.com