Form Rw-06 - Renunciation Register Of Wills

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RENUNCIATION
REGISTER OF WILLS
Estate of
, Deceased
The undersigned, _____________________________________________ , in the capacity/relationship as
(Name or Corporate Name)
_____________________________________ of the above Decedent, hereby renounces the right to administer
the Estate of the Decedent and, to the extent permitted by law pursuant to 20 Pa.C.S. § 3155, respectfully
requests that Letters be issued to ____________________________________________________.
(Date)
Name or Corporate Fiduciary (if applicable)
__________________________________________
______________________________________________________
Signature of Person
Signature of Officer/Representative
_________________________________________
____________________________________
Title of Officer/Representative
Address
____________________________________
_________________________________________
Address
____________________________________
_________________________________________
Telephone
_________________________________________
____________________________________
Telephone
Email
_________________________________________
Email
Executed in Register’s Office
Executed out of Register’s Office
Sworn to or affirmed and subscribed
Before the undersigned personally appeared the
before me this _______________ day
party executing this Renunciation and certified
of ______________________, _______.
that he or she executed the Renunciation for the
day
purposes stated within on this
.
of
,
Notary Public
Deputy for Register of Wills
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show date of expiration of Notary's Commission.)
Form RW-06 eff. 09.01.16

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