SURROGATE222S COURT OF THE STATE OF NEW YORK � COUNTY OF � � � XPROBATE PROCEEDING, � � RENUNCIATION OF NOMINATEDWILL OF � � EXECUTOR and/or TRUSTEE � � a/k/a � � � � � � � Deceased. � � X � File No. � � I, � � � � � � � � � � � � � � � � � , nominated as an executor and/or trustee in the (Will) (Codicil) of � , dated � , 20 � , late of � in the County of � New York. hereby renounce the appointment and all right and claim to letters testamentary and/or letters of trusteeship of and under the (Will) (Codicil) or to act as executor and/or trustee thereof. � I hereby waive the issuance and service of a citation in the above entitled matter, and consent that the Will dated � (and Codicil dated � , 20 � ) (and Codicil dated dated � , 20 � ), a copy of which has been received by the undersigned, be forthwith admitted to probate. I hereby consent that Letters � Testamentary � of Administration c.t.a. � of Trusteeship issue to � without the necessity of furnishing a bond. If a bond is furnished, I hereby waive and release all right to make any claim on the bond in any capacity whatsoever. � � � � (Signature) � (Name of Corportation) � � � � � � � Date: � � STATE OF NEW YORK � � � ) COUNTY OF � � � ) � ss.:On � , 20 � , before me personally appeared [INDIVIDUAL] � to me known and known to me to be the person described in and who executed the foregoing renunciation and duly acknowledged the execution thereof. [CORPORATION] to me known, who duly swore to the foregoing instrument and who did say that he/she resides at � and that he/she is a � � of � � the corporation/national banking association described in and which executed such instrument; and that he/she signed his/her name thereto by order of the Board of Directors of the corporation.Notary Public: � � Commission Expires: � � � � � Name of Attorney: � � Tel No.: � Address of Attorney: � � P-10 (10/96) American LegalNet, Inc. www.FormsWorkFlow.com