Prepared by U.S. Legal Forms, Inc.
Copyright 2016 - U.S. Legal Forms, Inc.
STATE OF CALIFORNIA
California Renunciation and Disclaimer of Property
(Intestate Succession)
Control Number – CA - 02 - 03
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NOTE ABOUT COMPLETING THE FORMS
The forms 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.
If you do not see the gray shaded form fields, go the View menu, click on Toolbars, and then
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If you need to make any changes in the body of the form, it is necessary for you “unlock” or
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SO BEFORE YOU BEGIN TO FILL IN THE FIELDS. IF YOU UNLOCK THE
DOCUMENT AFTER YOU HAVE BEGUN TO COMPLETE THE FIELDS, WHEN
YOU RELOCK, ALL INFORMATION YOU ENTERED WILL BE LOST. To unlock
click on “Tools” in the Menu bar and then selecting “unprotect document”. You may then be
prompted to enter a password. If so, the password is “uslf”. That is uslf in lower case letters
without the quotation marks . After you make the changes relock the document before you
being to complete the fields.
After any required changes and re-protecting the document, click on the first form field and enter
the required information. You will be able to navigate through the document from form field to
form field using your tab key. Tab to a form field and insert your data. If problems, please let us
know.
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DISCLAIMER
These materials were developed by U.S. Legal Forms, Inc. based upon statutes and forms for the
State of California. 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
offered by U.S. Legal Forms (USLF) are not a substitute for the advice of an attorney.
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INABILITY TO USE THE MATERIALS, EVEN IF U.S. LEGAL FORMS, INC. HAS BEEN
ADVISED OF THE POSSIBILITY OF SUCH DAMAGES.
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_ COURT OF THE STATE OF CALIFORNIA
COUNTY OF _ ________________
In Re the Estate of:
)
)
Deceased )
)
)
) NO. _______________________
)
) RENUNCIATION AND DISCLAIMER
) OF PROPERTY (Intestate Succession)
)
I.
Pursuant to the California Probate Code Div. 2, Part 8, Chap. 2, the undersigned,
________________________ chooses to exercise his/her right to disclaim a partial interest or
the entire interest in the described property.
II.
The decedent died intestate on the ______ of __________________ , 20 and the
undersigned has an interest in the described property.
III.
Pursuant to intestate succession, the undersigned has an interest in the following property:
________________________________________________
IV.
The undersigned attests that the disclaimer of the property interest will be filed no later than
nine months after the death of the decedent.
V.
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Pursuant to applicable law of the State of California, 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 III.
VI.
The property devolves to others pursuant to the provisions of applicable State law as though the
undersigned had predeceased the decedent. As a result of this renunciation and disclaimer the
following individual(s) will take the interest or right to inherit the property or asset of the
deceased as described in paragraph III:
________________________________________________
________________________________________________
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 California
County of
On before me, (here
insert name and title of the officer), personally appeared
, who proved to me on the basis of satisfactory evidence to be the
person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that
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he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their
signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s)
acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the
State of California that the foregoing paragraph is true and correct.
WITNESS my hand and official seal.
Signature (Seal)
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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