VISITS TO THE SURROGATE COURT ARE BY APPOINTMENT ONLY. PLEASE SUBMIT THE FOLLOWING INFORMATION AND CALL (973) 285-6500 TO MAKE AN APPOINTMENT.

After completing this form, please e-mail it by clicking on the submit button at the bottom of this page. If you would like to fax it, please print the form, complete all the information and fax it along with the will and death certificate to this number (973)829-8599.

If there is no will, the court will appoint an administrator of the estate. Click Probate Form B to submit the required information.
 Note: Fields marked with an asterisk * are required.
If the required information is not available at this time, you ma enter "N.A or Not Available"
General Information

Your Name:

Your Address:

City:

State:

Zip:

Your Phone:(021-123-4567)

Your Relation to Decedent:

Decedent

Name Of Decedent:

Date of Death:(mm/dd/yyyy)

Date of Birth:(mm/dd/yyyy)

Address:

City:

State:

Zip:

Date of Will:(mm/dd/yyyy)

Date of Codicil:(mm/DD/yyyy)

Do You have the original Will?

Yes: No:

Is this will self-proving?

Yes: No:
Executor/Executrix
Name of Executor/Executrix:

Address:

City:

State:

Zip:
Trustee
Name of Trustee:

Address:

City:

State:

Zip:
 

Witness to will

Name of Witness 1:

Address:

City:

State:

Zip:
   
Name of Witness 2:

Address:

City:

State:

Zip:

Heirs at Law and Next of Kin

Name 1:

Relationship:

Address:

City:

State:

Zip:
   

Name 2:

Relationship:

Address:

City:

State:

Zip:
   

Name 3:

Relationship:

Address:

City:

State:

Zip:
   

Name 4:

Relationship:

Address:

City:

State:

Zip:
   

For additional heirs and other information, please use the space provided:

Conclusion

Number of Certificates Requested:




Click if there is No will.

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