Information Sheet For Ancillary Probate

MERCER COUNTY SURROGATE'S COURT Diane Gerofsky, Surrogate INFORMATION SHEET FOR ANCILLARY PROBATE NAME OF DECEASED:________________________________Date of Death_____________________ Residence of Deceased at Time of Death:________________________________________________ (Indicate borough, township, town, or city or county) ___________________________________________________________________________________ Name(s) of Executor who will qualify:_____________________________________________ (Must be same person as in out of state Exemplified County Proceedings) ___________________________________________________________________________________ Address(es) of Executor(s):_____________________________________________________________ (Indicate borough, township, town, or city or county) _________________________________________________Telephone No:______________________ Date of Will:________________________________ Date of Codicil(s):__________________________ Exemplified Out of State/County Probate Proceedings and an original death certificate must be provided: Enclosed _____ (please mark when enclosed) or To be mailed_________________ Attorney of Record:______________________________________ Telephone No:_________________ Address:___________________________________________________________________________ NEXT OF KIN RELATIONSHIP TO TO DECEASED NAME ADDRESS AGE IF UNDER 18 ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ State reason for the request of ancillary probate: __________________________________________________________________________________ Rule to Bar Creditors (Yes)______(No)______ ( Deaths on or before February 26, 2005 only) Number of Short Certificates Requested:__________________________________________ Date You Wish Executor to Qualify:___________________________________________ Page 1 of 2 - Fact Sheet for Ancillary Probate American LegalNet, Inc. www.FormsWorkFlow.com Is the executor appearing in the Trenton office to probate? (Yes)________ (No)_________ or Is an out of State executor appearing before a Notary Public? (Yes) ______ (No) __________ or If yes, please indicate name and address including county of the Notary Public: _____________________________ _____________________________ _____________________________ _____________________________ Is the executor appearing at a satellite office? (Yes)________ (No)__________ If yes, please indicate which satellite office. Lawrence Satellite___________ (First Tuesday of each month) Ewing Satellite ___________ (Second Tuesday of each month) Hamilton Satellite___________ (Third Tuesday of each month) Hopewell Satellite __________ (Third Friday of each month) Pennington Satellite_________ (Second Thursday of each month) E Windsor Satellite__________ (Fourth Tuesday of each month) Princeton Satellite__________ (Fourth Thursday of each month) Robbinsville Satellite _______ (First Thursday of each month) PLEASE NOTE: When making your appointment with the Surrogate's Court for a satellite office, kindly return this sheet together with a copy of the Exemplified Proceedings and Death Certificate to this office by fax or mail at least 48 hours prior to the appointment. Contact Kelly at (609) 9896336 to make the appointment MERCER COUNTY SURROGATE=S COURT P.O. BOX 8068 TRENTON, NEW JERSEY 08650-0068 Fax: (609) 278-1242 Phone: (609) 989-6331 E-mail: dgerofsky@mercercounty.org Page 2 of 2 - Fact Sheet for Ancillary Probate American LegalNet, Inc. www.FormsWorkFlow.com