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Release Form. This is a New York form and can be use in Surrogates Court Statewide.
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Tags: Release, New York Statewide, Surrogates Court
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
Plaintiff(s)
Calendar No.
:
JUDICIAL SUBPOENA
SURROGATE’S COURT OF THE STATE OF NEW YORK
-against:
COUNTY OF
---------------------------------------------------------------------------------:
IN THE MATTER OF THE ESTATE OF,
Deceased
RELEASE
:
Defendant(s)
:
......................................................
I,
do hereby acknowledge that
as the Executor/Administrator of the Estate of ____________________, late of the Town/City/Village of
______________________ in said County of Albany, deceased, has fully and satisfactorily accounted to me as
THE PEOPLE OF of said OF NEW for
Executor/AdministratorTHE STATE deceased YORK all moneys and property held by him/her as such
Executor/Administrator .
TO
Now, Therefore in consideration of the moneys and property hereto received by me and the sum of
_________________________________________________________ Dollars ($
) this day to me in hand
paid, the receipt whereof is hereby acknowledged and I do hereby release, exonerate and discharge the said
GREETINGS:
_______________________________________ as such Executor/Administrator and his/her sureties in that behalf given,
of and from anyWE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
and all liability and accountability to me and I consent that said Executor/Administrator may have the
decreethe Honorable
entered discharging him/her of and from any and all liability and accountability to me without further accounting. ,
at the
Court
And I of
located at
County do hereby waive the issuance and service on me of a citation to attend the judicial settlements of the accounts
of saidin room
Executor/Administrator or any otherof
, on the
day proceeding taken by him/her in the Surrogate’s Court of the County ofrecessed
, 20
, at
o'clock in the
noon, and at any Albany,
pertaining or relating to the testify of said deceased. as a witness in this action on the part of the
or adjourned date, to estate and give evidence
Witness my hand and seal this _________ day of _____________________________, 20_____.
___________________________________________________
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.
STATE OF
)
COUNTY OF Witness, Honorable
) ss.:
, one of the Justices of the
Court in
County,
day of
, 20
On the
day of
in the year 200 , before me, the undersigned, personally appeared
personally known to me or proved to me on the basis of satisfactory evidence to be the individual whose name is subscribed
to the within instrument and acknowledged to me that he/she executed the same in his/her capacity and that by his/her
(Attorney must sign above and type name below)
signature on the instrument, the individual, or the person on behalf of which the individual acted, executed the instrument.
____________________________________________________
Attorney(s) for
Notary Public
Actual consideration of moneys paid in hand must be
recited on all releases filed in this Court. Recitation of
$1.0 0 is no t sufficient.
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
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