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2. If you've scheduled an appointment, please note the date/time:
   If you've scheduled an appointment, please note the date/time:

   If you've scheduled an appointment, please note the date/time:

   You can make an appointment by calling us at 908-788-1156.

4. Name of Decedent:*

   As stated in death certificate. 

5. Alternate Name(s) of Decedent:*

   Name as listed on driver's license, accounts, etc.  

6. Age of Decedent:*
8. FULL Address of Decedent:*

   Where the decedent physically resided at time of death. Include zip code. 

9. Township/Borough:*

   Where were taxes paid to?

11. Has an attorney been retained to assist with the estate?*

    1. Yes
    2. No
13. Attorney Name:*
14. Attorney Phone:*
16. Attorney Mailing Address:*
17. Attorney Email:*
19. Affiant Name:*

    As stated on ID

20. Relation to Decedent:*
22. Affiant Address:*

    Include zip code; NO PO Box

23. Affiant Phone:*
24. Affiant SSN:*
25. Affiant Email:*
27. ASSET INFORMATION

    To apply for an Affidavit, the assets must be less than $50,000 and you must have account or VIN numbers and values.  
    Use Kelly Blue Book for current vehicle values.

29. Bank / Company and Type of Account:
30. Account #:
31. Current Value:
33. Bank / Company and Type of Account:
34. Account #:
35. Current Value:
37. Bank / Company and Type of Account:
38. Account #:
39. Current Value:
41. Bank / Company and Type of Account:
42. Account #:
43. Current Value:
45. Titled Vehicle Make/Model/Year:
46. VIN:
47. Current KBB Value:
49. Titled Vehicle Make/Model/Year:
50. VIN:
51. Current KBB Value:
53. More Assets? List them here:

    Be sure to include type of asset, account or VIN number, and its current value.

55. UPLOAD DEATH CERTIFICATE:

    Upload a copy of the death certificate.  You must present the ORIGINAL death certificate to the Court.  

57. NOTE ABOUT FEES:

    The cost for an Affidavit is $5 in fees per $100 of assets.  Consents are $5 each.  Maximum fee is $50. Fees are payable via cash, check, Visa, Mastercard, or Discover card.  We cannot accept a check with the decedent's name on it unless it is from a joint spousal account.    

59. Do you have any questions for us or is there anything else you'd like us to know?
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61. 1. Receive an email copy of this form.
62. Email address

    This field is not part of the form submission.

63. Submit

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