RENUNCIATION
REGISTER OF WILLS
Estate of
, Deceased
The u
ndersigned,
____________________________________________
_
, 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)
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
purposes stated within on this
day
of ,
.
Deputy for Register of Wills
Notary Public
My Commission Expires:
(Signature and Seal of Notary or other official qualified to
administer oaths. Show d
ate of expiration of Notary's Commission.)
Form RW-06 eff. 09.01.16
Name or Corporate Fiduciary (if applicable)
__________________________________________
Signature of Officer/Representative
____________________________________
Address
_________________________________________
Title of Officer/Representative
____________________________________
____________________________________
Telephone
____________________________________
Email
______________________________________________________
Signature of Person
_________________________________________
Address
_________________________________________
Telephone
_________________________________________
Email
Sworn to or affirmed and subscribed
before me this _______________ day
of ______________________, _______.
_________________________________________
