New York Codes, Rules and Regulations
Title 22 - JUDICIARY
Subtitle D - Forms
Chapter VII - Surrogate's Court Forms
Subchapter A - Forms Authorized By Section 207.52
Surrogate's Forms
Form ADM/DBN-4 - Consent to appointment of administrator d.b.n. (corporation)
SURROGATE'S COURT OF THE STATE OF NEW YORK
COUNTY OF
________X
LETTERS OF ADMINISTRATION d.b.n.
ESTATE OF CONSENT TO APPOINTMENT OF
ADMINISTRATOR d.b.n.
a/k/a (CORPORATION)
File No. ________
Deceased.
________X
The undersigned corporation voluntarily appears in the Surrogate's Court of ________ County, New York, and consents that
[ ] Letters of Administration d.b.n.
[ ] Letters of Administration d.b.n. with Limitations
[ ] Limited Letters of Administration d.b.n.
be issued to ____________
or any other person or persons entitled thereto without any notice whatsoever to the undersigned, and consents
[ ] that a bond be dispensed with
[ ] that a bond in the amount of $____________ be posted and hereby specifically releases any claim it might have under any bond that may be filed.
____
Date
______________
Name of Corporation
By:
______________
(Signature of Officer)
______________
(Type Name and Title)
STATE OF NEW YORK
COUNTY OF ss.:
On ____________, ________, 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 consent; and that (s)he signed the same thereto by order of the board of directors of the above corporation.
______________
Notary Public
Commission Expires:
(Affix Notary Stamp or Seal)
Name of Attorney: ____________ Tel. No.: ________
Address of Attorney: ____________
ADM/DBN-4 (7/98)
