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Next of Kin Affidavit of Assets

In the case of an intestate estate with a value exceeding $10,000 with the decedent having no surviving spouse/civil union domestic partner, the Next of Kin Affidavit of Assets can be used. This form allows one of the next-of-kin. The affiant filing this has to present the original death certificate of the decedent, list of related assets, a death certificate of the decedent spouse (if any) and the notarized consents for the related next-of-kin in the case.

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1	   
 
 	
State of New Jersey 	
Docket No.:  	  	 	
Essex County Surrogate’s Court 	
 	
THEODORE N. STEPHENS, II Hall of Records, Room 206 
Natalynn Dunson-Harrison 
SURROGATE  Newark, New Jersey 07102  DEPUTY SURROGATE 
Ph o ne  973-621-4900  Fax  973-621-2647 	
 	
In the matter of the Estate of: 	
 	
________________________ ____, Deceased         	NEXT OF KIN 
AFFIDAVIT OF ASSETS  	
AKA: 	_______________ 	AND 	DECLARATION 	
In Lieu of Administration Where Real and Personal	 	
Estate Does Not Exceed $10,000.00 (R.S. 3B:10-4)  	  	
I, 	, of full age, being duly sworn, depose(s) 
and say(s):  	
 	
1. I reside at 	. 
2.  I am related to    	
who died on 	, 
with a residence of 	
in the County of Essex and State of 
New Jersey without leaving a Will. 
3.  The decedent was my __ ___________________________. 
4.  All of the decedent's next of kin are as follows: 
 
NAME  Relationship 	
(and a	ge if a minor	)	
ADDRESS/RESIDENCE  	
    
   
   
   
   
   
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