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Iwe the Executors Appointed by the Decedents Will Form

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Iwe the executors appointed by the decedents will form

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WAIVER OF QUALIFICATION Court File No. ................................................................................. VA. CODE §§ 64.2 -500 , 64.2 -502 TO THE CLERK: ................................................................................................................................................................................................................... Virginia, Circuit Court ......................................................................................................................... ......................................................................................................................... NAME OF DECEDENT DATE OF DE ATH [ ] City [ ] County of ............................................................................. State/Commonwealth of ............................................................................ Ac knowledged, subscribed and sworn to before me this ....................... day of ................................................................................. , 20 ............... by ................................................................................................................................................................................................................................................................ PRINT N AME OF SI GN AT ORY _____________________________________________________________ [ ] CLER K [ ] DEPUTY CLERK [ ] NOTARY PUBLIC My commission expires ............................................... Registration N o. ............................................................ 1. I/We, the executor(s) appointed by the decedent's will, [ ] I refuse the executorship [ ] I refuse the executorship in favor of the co -executor(s) SIGNATURE OF EXECUTOR(S) ______________________________________________________________ ______________________________________________________________ 2. [ ] I/We, residual or substantial legatee(s) (persons to whom decedent willed personal property), or [ ] I/We, distributees of the intestate decedent's estate (relatives unde r Va. Code § 64.2-201 ; see also § 64.2-200), decline to qualify on the estate and request appointment of .................................................................................................................................................................................................................................................................. NAME AND ADDRES S OF PERS ON NOMINATED FOR APPOINTMENT [ ] as administrator, c.t.a. (if decedent left a will) or [ ] as administrator (if decedent did not leave a will) SIGNATURE(S), LEGATEE(S)/DISTRIBUTEE(S) RELATIONSHIP TO DECEDENT ________________________________________________________ ......................................................................................................................... ________________________________________________________ ......................................................................................................................... ________________________________________________________ ......................................................................................................................... ________________________________________________________ ......................................................................................................................... FORM CC-1608 MASTER 11/16

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