INSTRUCTIONS FOR FILING NOTICE OF MOTION

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INSTRUCTIONS FOR FILING NOTICE OF MOTION Attached please find sample forms of a Notice of Motion, Certification, Proof of Service, and a blank form of Order (to be completed and signed by the Judge), to be used in connection with your matter. Kindly return the completed Notice of Motion and Certification, together with the blank form of Order, with the required filing fee of $15.00, to this Court for processing. Please make your check or money order payable to the SURROGATE OF HUDSON COUNTY. Upon our receipt of same, your documents will be stamped Filed and the matter will be scheduled for a hearing. A copy of the completed Notice of Motion and Certification must be served upon all interested parties, if any, by regular mail and Certified Mail, Return Receipt Requested, at least sixteen (16) days before the date of the hearing. You must then attach copies of the Certified Mail receipts (the green cards) to the Proof of Mailing form, and return same to this Office. JOSEPH J. RYGLICKI, SURROGATE HUDSON COUNTY BRENNAN COURTHOUSE 583 NEWARK AVENUE, FIRST FLOOR JERSEY CITY, NEW JERSEY 07306 (201) 795-6378 YOU MUST CONTACT THE COURT AT (201) 795-6677 AT LEAST 72 HOURS PRIOR TO THE HEARING DATE TO CONFIRM THE TIME YOU ARE REQUIRED TO APPEAR

NAME ADDRESS PHONE NO. NOTICE OF MOTION TO (List Name(s) and Address(es) of interested parties to be served Notice) PLEASE TAKE NOTICE that I shall move before the Honorable Marybeth Rogers, J.S.C., at the Brennan Courthouse, 583 Newark Avenue, Fourth Floor, Jersey City, New Jersey, on, 20, at a time to be determined by the Court, for an Order granting the following (insert relief sought in space below). Should you have any objections to my application to the Court, you must appear before the Court on the above date and time. Pursuant to 16-2, the undersigned hereby requests oral argument only in the event opposition is filed. Date Via Regular Mail & Certified Mail, RRR YOU MUST CONTACT THE COURT AT (201) 795-6677 AT LEAST 72 HOURS PRIOR TO THE HEARING DATE TO CONFIRM THE TIME YOU ARE REQUIRED TO APPEAR

NAME ADDRESS PHONE NO. CERTIFICATION I,, the Pro Se Plaintiff in the above captioned matter, do hereby certify as follows (Provide a BRIEF explanation as to the reason(s) you are bringing forth this court action and attach any supporting documents) I certify that the foregoing statements made by me are true. I am aware that if any of the foregoing statements made by me are willfully false, I am subject to punishment. Date

NAME ADDRESS PHONE NO. PROOF OF MAILING I,, the Pro Se Plaintiff in the above captioned matter, do hereby certify as follows On I mailed a copy of the Notice of Motion and form of Order, by certified mail, return receipt requested (copies of receipts are attached hereto), and by regular mail to the following parties (List Name(s) and Address(es) of interested parties to be served Notice) I certify that the foregoing statements made by me are true. I am aware that if any of the foregoing statements made by me are willfully false, I am subject to punishment. Date

NAME ADDRESS PHONE NO. ORDER THIS matter being brought before the Court by Pro Se Plaintiff, and the Court having reviewed this paperwork filed in this matter, and for good cause having been shown; It is on this day of, 20 ; ORDERED that _; and It is further ORDERED that a copy of the within Order shall be served upon all interested parties within days of the receipt of the same by plaintiff. J.S.C.