(Name, Address of Party or Attorney)
State Bar No: __________________
Telephone No: ____________________
Attorney for __________________ (Or “In Pro Per” or “Pro Se”)
______________ COURT OF THE STATE OF ______________
______________ JUDICIAL DISTRICT
COUNTY OF _________________
IN RE: ESTATES OF ______________ ) CASE NO.: ________
DECEASED RENUNCIATION AND DISCLAIMER
OF RIGHT TO INHERIT
The undersigned ________________________ has an interest in the property in the above- captioned estate.
_________________ (decedent) died ________________.
Pursuant to the provisions of paragraph ________________ of decedent’s last will and testament dated __________________ (the “Will”), is entitled to inherit ________________________________________________
Pursuant to applicable law of the State of _____________ , and the Internal Revenue Code of 1986, if applicable, the undersigned hereby renounces and disclaims any interest or right to inherit the property or asset of the deceased described in paragraph I.
The property devolves to others pursuant to the provisions of applicable State law as though the undersigned had predeceased the decedent.
This renunciation and disclaimer shall for all purposes be deemed to relate back to the date of decedent’s death and is an irrevocable refusal to accept that property effected hereby, and is hereby delivered to the personal representative, executor or executrix of the Estate of _____________ to be filed with the court in the above-captioned proceeding.
DATED this ___ day of _______________, 20___ .
STATE OF _______________________
COUNTY OF _____________________
SWORN TO, subscribed and acknowledged before me on _______________ , 20____ by__________________________ .
Notary Public or Deputy Court Clerk
My Commission Expires:
Receipt of an executed copy of the above Renunciation and Disclaimer is acknowledged this ___ day of ________, 20___ .
State Specific Real Estate Forms
–For State Specific Real Estate Forms you can download in Word format, go to http://www.uslegalforms.com/realestate/