Fill and Sign the Georgia Succession Form

Prepared by U.S. Legal Forms, Inc. Copyright 2016 - U.S. Legal Forms, Inc. STATE OF GEORGIA Renunciation And Disclaimer of Property (Intestate Succession) Control Number – GA-03-03 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 Georgia. 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. THESE MATERIALS ARE PROVIDED "AS IS" WITHOUT ANY EXPRESS OR IMPLIED WARRANTY OF ANY KIND INCLUDING WARRANTIES OF MERCHANTABILITY, NONINFRINGEMENT OF INTELLECTUAL PROPERTY, OR FITNESS FOR ANY PARTICULAR PURPOSE. IN NO EVENT SHALL U. S. LEGAL FORMS, INC. OR ITS AGENTS OR OFFICERS BE LIABLE FOR ANY DAMAGES WHATSOEVER (INCLUDING, WITHOUT LIMITATION DAMAGES FOR LOSS OF PROFITS, BUSINESS INTERRUPTION, LOSS OF INFORMATION) ARISING OUT OF THE USE OF OR INABILITY TO USE THE MATERIALS, EVEN IF U.S. LEGAL FORMS, INC. HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. RENUNCIATION AND DISCLAIMER OF PROPERTY (Intestate Succession) GEORGIA, __________________ COUNTY To the Honorable Judge of the Probate Court of said State and County: The undersigned ______________________________ , whose mailing address is _______________________________________________________ , ( Street City State Zip ) respectfully shows to the Court the following: I. Pursuant to the Georgia Code, Title 53, Chapter 1, Article 3, 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 ______ day 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 or nine months after the undersigned reaches the age of 21. V. Pursuant to applicable law of the State of Georgia, 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. 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 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 IN WITNESS WHEREOF, this instrument has been duly executed and sealed by ________________________ the day and year first above written. Signature Signed, sealed and delivered in the presence of Witness Notary Public My Commission expires: (AFFIX SEAL and STAMP) 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