Fill and Sign the Dc Succession Form

RENUNCIATION AND DISCLAIMER OF PROPERTY (Intestate Succession) I, ____________________________ , widow (or surviving husband) of ____________________________ deceased, in lieu of my legal share of the real estate which my deceased spouse died intestate, elect to take dower in all the real estate of my deceased spouse to which the right is applicable. DISTRICT of COLUMBIA This instrument was acknowledged before me on this ______ day of _____________________ , 20 ______ by ____________________________ . ________________________________ Notary Public Print Name: ______________________ My commission expires: ____________________________ Receipt of an executed copy of the above Renunciation and Disclaimer is acknowledged this ______ day of _____________________ , 20 ______ . _______________________________ (Name) ____________________________ Personal Representative/Executor/Executrix I certify that on _____________________ ______ , 20 ______ , I delivered a true copy of the Renunciation and Disclaimer of Property by ( ) personal delivery, ( ) registered mail, and/or ( ) certified mail, return receipt requested, to the personal representative/executor/executrix or other fiduciary of the decedent. DATED this ______ day of _____________________ , 20 ______ . _________________________________ Signature _________________________________ Print Name _________________________________ Address _________________________________ City, State, Zip Code _________________________________ Telephone