RENUNCIATION REGISTER OF WILLS COUNTY, PENNSYLVANIA Estate of , Deceased I, , in my capacity/relationship as (Print Name) of the above Decedent, hereby renounce the right to administer the Estate of the Decedent and respectfully request that Letters be issued to . (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 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 date of expiration of Notary's Commission.) Form RW-06 rev. 10.13.06 American LegalNet, Inc. www.FormsWorkflow.com