Barbara G. Reilly Register of Wills of Bucks County, Pennsylvania RENUNCIATION In re: Estate of , deceased File No.:__________________ I, _______________________________________________________, in my capacity/relationship as _________________________ of the above decedent, hereby renounce the right to administer the Estate of the decedent and respectfully request that Letters be issued to: _____________________________________________________________ if appropriate. Date: (Signature) (Street Address) (City, State, Zip) Executed in Register’s Office Executed out of Register’s Office Sworn to or affirmed and subscribed before me this day of , . 20 Before the undersigned personally appeared the party executing this Renunciation and certified that he or she executed the Renunciation for the purposes stated within day of , 20 . on this for Register of Wills Notary Public My Commission Expires: (Signature and Seal of Notary Public or other official qualified to administer oaths. Show date of expiration of Notary’s Commission.) www.buckscounty.org RW 6 (Rev 3/10) American LegalNet, Inc. www.FormsWorkFlow.com