Renunciation Form - Pennsylvania

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REGISTER OF WILLS
COUNTY, PENNSYLVANIA
RENUNCIATION
Estate of
, Deceased
I,
, in my capacity/relationship as
(Print Name)
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
.
(Date)
(Signature)
(Street Address)
(City, State)
Executed in Register’s Office
Executed out of Register’s Office
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
Deputy for Register of Wills
purposes stated within on this
day
of
,
.
Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
9.29.05

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