Request Appointment Step 1 of 4 25% Applicant's InformationName(Required) First Middle Last Suffix Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone(Required)Email(Required) Relationship to the deceased:(Required) Decedent's InformationName(Required) First Middle Last Suffix Date of Birth:(Required) MM slash DD slash YYYY Date of Death:(Required) MM slash DD slash YYYY Did the decedent live in Hudson County at time of death?(Required) Yes No Have you or another party applied for Surrogate Certificates for the deceased previously?(Required) Yes No If Yes, What is the docket number?Is There An Original Last Will And Testament?(Required) Yes No Do You Have The Original Death Certificate?(Required) Yes No Is The Death Certificate In English? (If Not, Provide Original Translation Of Death Certificate Into The English Language.)(Required) Yes No Was The Decedent Married At Time Of Death(Required) Yes No Did The Decedent Leave Any Children?(Required) Yes No If Yes, How Many Children?Please enter a number from 0 to 100.Did The Decedent Leave Any Children Outside Of The Marriage?(Required) Yes No Complete The Following Only If The Decedent Was Not Married And Had No Children:Did The Decedent Leave Any Surviving Parents Or Siblings? Yes No If None Of The Above Applies – Who Are The Decedent’s Relatives?What Are The Assets In The Decedent’s Name Only?(e.g., Bank accounts, vehicles, real estate, securities, and liquid assets)Are There Any Debts In The Decedent’s Name Only? Yes No Preferred Appointment Time(Required)Morning (9AM, 10AM OR 11AM)Afternoon (2PM)Please select which is your preferred appointment time slot, a staff member will provide you with the next available appointment based on this selection via EMAIL, IF NO EMAIL IS PROVIDED YOU WILL BE NOTIFIED VIA PHONE. I attest that the information provided is the true and accurate to the best of my knowledge.(Required) Yes
