Glossary of Probate Estates Terms

RENUNCIATION AND DISCLAIMER OF PROPERTY (Intestate Succession)

IN THE COURT FOR THE STATE OF ALASKA

AT

I.

Pursuant to the Alaska Statutes, Title 13, Chap. 13.12, Section 13.12.801, 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 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.

Pursuant to applicable law of the State of Alaska, 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 ,

State of Alaska

Judicial District (or County of )

The foregoing instrument was acknowledged before me this day of

by (signing party) (marital status).

Print Name

Serial Number, if any:

My commission expires:

I certify that on the day of , 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 ,

Receipt of an executed copy of the above Renunciation and Disclaimer is acknowledged this

day of ,