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Renunciation of Inheritance

TO: Estate of Full Name of Deceased

The undersigned hereby renounces any an all right, title or interest in and to any gift, inheritance,
bequest or other property or assets of the Estate of Full Name of Deceased (the "Estate").

The undersigned acknowledges that the executors of the Estate will rely on this Renunciation of
Inheritance in distributing the property and assets of the Estate.

This Renunciation of Inheritance shall be binding upon the undersigned, and his or her heirs,
executors, legal representatives and assigns.

DATED: Date of Signing of Renunciation

Witness Full Name of Person Signing


Renunciation

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