SURROGATE'S COURT OF THE STATE OF NEW YORK
COUNTY OF ________
ADMINISTRATION PROCEEDING WAIVER OF CITATION AND
Estate of ________ CONSENT TO APPOINTMENT
________ Deceased. File No. ________
The undersigned corporation, a creditor of the above-named decedent, hereby voluntarily appears in the Surrogate's Court of ________ County, New York, and waives the issuance and service of a citation in this matter and consents that Letters of Administration be issued to ________ or any other person or persons entitled thereto without any notice whatsoever to the undersigned, without furnishing a bond or other security for the faithful performance of the duties of that office and specifically releasing any claim it might have under any bond that may be furnished.
DATE: ____________, 19________
(Name of Corporation)
(Signature of Officer)
(Type Name and Title)
STATE OF NEW YORK )
COUNTY OF ________ )
On ________, 19________, before me personally came ________ to me known, who being duly sworn did say that: (s)he resides at; (s)he is a ________ of ________, the corporation described in and which executed the foregoing waiver and consent; and that (s)he signed the same thereto by order of the board of directors of the corporation.
Name of Attorney
Commission Expires: ________
(Affix Stamp or Seal) ________