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Renunciation Form. This is a Pennsylvania form and can be use in Philadelphia Local County.
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Register of Wills of Philadelphia County, Pennsylvania
RENUNCIATION
Estate of
No.
also known as
, Deceased
The undersigned,
of the
(Relationship) (Capacity)
above Decedent, hereby renounce(s) the right to administer the estate and respectfully request(s) that
Letters be issued to
WITNESS
hand this
day of
, 20
.
(Signature)
(Address)
(Signature)
(Address)
(Signature)
(Address)
Sworn to or affirmed and subscribed
before me this
of
day
, 20
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.)
NOTE: To be taken by officer authorized to
administer oaths. Please have present
the original or copy of instrument(s) at
time of notarization.
APPENDIX A: Form 4 - Renunciation
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