Will/Adm/Gnd____Pages $_________

Surr. Certificates_______$_________

O.L.C_________________$_________

Other_________________$_________

HUDSON COUNTY SURROGATE’S COURT

INFORMATION SHEET

(CIRCLE) WILL ADMINISTRATION GUARDIANSHIP OTHER

ESTATE OF:__________________________________ SOC. SEC.NO.____________________

Deceased/Minor

RESIDENT OF:________________________________ DATE OF DEATH/BIRTH ___________

DEATH/BIRTH CERTIFICATE: Yes____ No____ DATE OF WILL/CODICIL___________

AMOUNT OF ESTATE: $_________ BOND: Yes____ No____ AMOUNT: $_________

NAME(S) AND ADDRESS(ES) OF EXECUTOR, ADMINISTRATOR OR GUARDIAN:

NAME ADDRESS TEL.NO. SOC. SEC. NO.

IF THERE IS A TRUST, PLEASE SUPPLY THE FOLLOWING:

NAME(S) AND ADDRESS(ES) OF TRUSTEE(S)

BENEFICIARY(IES) OF TRUST:

NAME(S) ADDRESS(ES) AGE (if Minor) INTEREST IN ESTATE

SELF-PROVING WILL: Yes_______ No_______

IF NO, NAME(S) AND ADDRESS(ES) OF WITNESS(ES)

Number of Certificates required______________ Rule to Limit Creditors: Yes__ No__

Publication: __________________________________________________________________

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PLEASE LIST THE NEXT OF KIN (ALSO IDENTIFY STEP-CHILDREN)

NAME ADDRESS RELATIONSHIP AGE (if Minor)

NAME, ADDRESS AND TELEPHONE NUMBER OF ATTORNEY:

__________________________________

__________________________________

__________________________________

__________________________________

__________________________________

__________________________________

TEL. NO.__________________________

FOR INTERNAL USE ONLY