Prepared by U.S. Legal Forms, Inc.
Copyright 2016 - U.S. Legal Forms, Inc.
STATE OF OHIO
Renunciation And Disclaimer of Joint Tenant Interest ( Joint Tenancy )
Control Number – OH - 01 - 03
NOTES ON COMPLETING THESE FORMS
The form(s) in this packet contain “form fields” created using Microsoft Word. “Form fields”
facilitate completion of the forms using your computer. They do not limit you ability to print the
form “in blank” and complete with a typewriter or by hand.
It is also helpful to be able to see the location of the form fields. Go to the View menu,
click on Toolbars, and then select Forms. This will open the forms toolbar. Look for the
button on the forms toolbar that resembles a “shaded letter “a”. Click in this button and
the form fields will be visible.
By clicking on the appropriate form field, you will be able to enter the needed information. In
some instances the form field and the line will disappear after information is entered. In other
cases it will not. This is appropriate and the way the form is designed to function.
DISCLAIMER
These materials were developed by U.S. Legal Forms, Inc. based upon statutes and forms for the
State of Ohio. All Information and Forms are subject to this Disclaimer: All forms in this
package are provided without any warranty, express or implied, as to their legal effect and
completeness. Please use at your own risk. If you have a serious legal problem we suggest that
you consult an attorney. U.S. Legal Forms, Inc. does not provide legal advice. The products
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PROBATE COURT OF ________________________ COUNTY, OHIO
IN THE MATTER OF THE
ESTATE OF: ______________________________,
DECEASED CASE NO. __________________
) ))))
RENUNCIATION AND DISCLAIMER OF JOINT TENANT INTEREST
(Entire Interest of Joint Tenant)
I.
Pursuant to the Ohio Revised Code, Title 13, Chapter 1339, the undersigned,
______________________________, the surviving joint tenant with right of survivorship,
chooses to exercise his/her right to disclaim any and all interests he/ she may have in any
property or interest that is the subject of a joint tenancy devolving to him/her because of the
death of the decedent. II.
The undersigned, as the surviving joint tenant, has an interest in the property of
______________________________ (the decedent) who died on __________________.
III.
The undersigned attests that the disclaimer of the property interest will be filed no later than
nine months after the death of the decedent.
IV.
As a joint tenant with right of survivorship, the undersigned has an interest in the following
property: ____________________________________________________________
V.
Pursuant to applicable law of the State Ohio, and the Internal Revenue Code of 1986, if
applicable, the undersigned hereby renounces and disclaims any interest or right to the property
or asset of the deceased described in paragraph IV.
VI.
The property devolves to others pursuant to the provisions of applicable State law as though the
undersigned had predeceased the decedent.
VII.
This renunciation and disclaimer shall for all purposes be deemed to relate back to the date of
decedent's death and is an irrevocable refusal to accept that property effected hereby, and is
hereby delivered to the personal representative, executor or executrix of the decedent.
DATED this ______ day of __________________, 20______.
Signature
Type or Print Name
STATE OF OHIO
COUNTY OF __________________The foregoing instrument was acknowledged before me this ____________ (date) by
____________________________________ (name of person acknowledged.)
Notary Public
My commission expires:
Type or Print Name
I certify that on the ______ day of ____________, 20______, I delivered a true copy of
the Renunciation and Disclaimer of Property by ( ) personal delivery, ( ) registered mail,
and/or ( ) certified mail to ________________________________________________ (name
and address), the ( ) personal representative, ( ) executor, ( ) executrix, or ( ) other fiduciary
of the decedent.
DATED this the ______ day of ____________, 20______.
Signature of Party
Printed Name
Address
City, State, and Zip
Telephone Number
Receipt of an executed copy of the above Renunciation and Disclaimer is acknowledged this
______ day of __________________, 20______.
Signature
Type or Print Name
Personal Representative/Executor/Executrix
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