Information Sheet For Ancillary Administration printable pdf download

MERCER COUNTY SURROGATE’S COURT

Diane Gerofsky, Surrogate

INFORMATION SHEET FOR ANCILLARY ADMINISTRATION

(This form is used when the decedent had no Last Will and Testament and the estate is over

$20,000 leaving a Surviving Spouse or the estate is over $ 10,000 with no surviving spouse and no

appointment was made in the state of domicile)

The following must be provided at time of application:

1. Certificate from the equivalent of the Surrogate’s Court from the county of domicile that no

proceedings or caveat have been filed in the county of domicile in that state.

2. Certified copy of the death certificate

3. Copy of the deed of real property or proof of person property located in the County of Mercer in

the State of New Jersey

NAME OF DECEASED:________________________________Date of Death_____________________

Residence of Deceased at Time of Death:________________________________________________

(Indicate borough, township, town, or city or county)

___________________________________________________________________________________

Name(s) of Person seeking to qualify as administrator:________________________________________

___________________________________________________________________________________

Address(es) of Adminstrator(s):_________________________________________________________

(Indicate borough, township, town, or city or county)

_________________________________________________Telephone No:______________________

Attorney of Record: ______________________________________ Telephone No:_________________

Address:____________________________________________________________________________

SPOUSE, DOMESTIC PARTNER OR CIVIL UNION PARTNER AND NEXT OF KIN

NAME

ADDRESS

RELATIONSHIP TO

AGE IF

TO DECEASED

UNDER 18

___________________________________________________________________________________

Note: If surviving spouse, domestic partner or civil union partner and there are child(ren) please

indicate if child(ren) is/are of both decedent and surviving spouse or only of the decedent.

Names of all adult persons whose right to administration is prior or equal to that of applicant and who will

sign renunciations in favor of applicant if choosing not to co-administer

__________________________________________________________________________________

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Information Sheet For Ancillary Administration