SUPERIOR COURT OF THE DISTRICT OF COLUMBIA PROBATE DIVISION _________ SEB _________ _____________________________________________________________ Name of Decedent Renunciation and Nomination of Personal Representative I, ___________________________________________, being a competent adult, and being familiar with the petition of _____________________________________, for appointment as personal representative, and being aware of the fact that according to D.C. Code, sec. 20-303, I have priority to serve as personal representative of the instant estate in that I am the _________________ (insert relationship to decedent such as heir, legatee, personal representative or alternate personal representative nominated in the will) of the deceased, hereby renounce my right to serve as the personal representative of this estate, and nominate ____________________________, petitioner, to service in my stead. ______________________________________ Date ______________________________________ (Signature) ______________________________________ Name ______________________________________ Address ______________________________________ ______________________________________ _______________________________________ Telephone Number April 2009 American LegalNet, Inc. www.FormsWorkFlow.com