Ocean County Surrogate's Court
State of New Jersey
Co-Executor Reserving Right to Qualify To the Surrogate of the County of Ocean State of New Jersey
Be it known that__________________________________________________________ one of the ________________________________named in the Last Will and Testament of _____________________________________________________, deceased, late of the County of Ocean and State of New Jersey, do not desire to qualify at this time but reserve the right to qualify at a later date. I understand that if I choose to qualify at a later date, the matter must be brought before the Superior Court, Chancery Division, Probate Part.
_______________________________________
Subscribed and Sworn to before me on ________________________________
________________________________ Notary Public (AFFIX SEAL)