Renunciation Of (Succeeding) Executor

Docket No.: _______________ State of New Jersey Essex County Surrogate's Court THEODORE N. STEPHENS II SURROGATE Hall of Records, Room 206 Newark, New Jersey 07102 Phone: 973-621-4900 Fax: 973-621-2647 Natalynn Dunson-Harrison DEPUTY SURROGATE In the matter of the Estate of: _________________________________________________, Deceased AKA: ___________________________________________ } RENUNCIATION OF EXECUTOR To: Theodore N. Stephens II, Surrogate of the County of Essex: Whereas, Deceased, late _____________________ in the County of Essex died leaving a Will dated ________________ and naming ______________________________________________ Executor thereof. Now be it known ______________________ hereby renounces the said Executorship and refuses to take upon themself the burden of the same. Signed in the presence of Signature Witness Signature STATE OF NEW JERSEY COUNTY OF ESSEX } SS. Be it remembered, that on this, Date, before me, ________________________________ undersigned authority personally appeared who I am satisfied is the person in the foregoing instrument, to whom I first made known the contents thereof, and thereupon they acknowledged that they signed, sealed and delivered the same as their act and deed, for the uses and purposes therein expressed. __________________________________________________ Notary Public of the State of New Jersey My Commission Expires: ____________________________ Affix Seal A3.DOC American LegalNet, Inc. www.FormsWorkFlow.com Page 1 of 1