Probate Form B

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

If there is no will, the Surrogate Court will appoint an administrator and, if appropriate, a co-administrator. Please submit the following information to the Surrogate Court. You also may print this form, complete and fax it to (973) 829-8599.
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:
* Your Relation to Decedent:
Decedent
* Name Of Decedent:
* Date of Death:(mm/dd/yyyy)
* Date of Birth:(mm/dd/yyyy)
Address:
City:
State:	Zip:
Administrator
* Administrator:
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:
Value of Estate
* Value of Estate:
Conclusion
* Number of Certificates Requested:

Click if there is a will.