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_____________________________________________.
,
.
Deputy for Register of Wills
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.)
Form RW-06 rev. 01.01.20
______________________________________________________
Name of Person
____________________________________
Address
____________________________________
____________________________________
Telephone
____________________________________
Email
____________________________________
Signature of Person
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 purposes
stated within on this day
of
(Date)
Name of Corporate Fiduciary (if applicable)
__________________________________________
Signature of Officer/Representative
_________________________________________
Title of Officer/Representative
_________________________________________
Address
_________________________________________
_________________________________________
Telephone
_________________________________________
Email
Executed in Register’s Office
Sworn to or affirmed and subscribed
before me this _______________ day
of ______________________, _______.
Commonwealth of Pennsylvania
County of ___________________
)
) SS:
)
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