Fill and Sign the Joint Tenant Tenancy 497298365 Form

RENUNCIATION AND DISCLAIMER OF JOINT TENANT INTEREST (Entire Interest of Joint Tenant) I. Pursuant to the California Probate Code Div. 2, Part 8, Chap. 2, the undersigned, ____________________________ , the surviving joint tenant with right of survivorship, chooses to exercise his/her right to disclaim any and all interests he/ she may have in any property or interest that is the subject of a joint tenancy devolving to him/her because of the death of the decedent. II. The undersigned, as the surviving joint tenant, has an interest in the property of ____________________________ (the decedent) who died on ____________________________ ______ , 20 _____ . III. The undersigned attests that the disclaimer of the property interest will be filed no later than nine months after the death of the decedent. IV. As a joint tenant with right of survivorship, the undersigned has an interest in the following property: ____________________________ V. 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 IV. 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 IV: ____________________________ ____________________________ 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 ___ . _________________________ (Name) Receipt of an executed copy of the above Renunciation and Disclaimer is acknowledged this _______ day of ____________________________ , 20 _______ . _______________________________ (Name) ____________________________ Personal Representative/Executor/Executrix State of California County of ____________________________ ) On ______________ ________ , 20 _____ before me, ____________________________ (here insert name), a Notary Public, personally appeared ____________________________ , personally known to me (or 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 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. WITNESS my hand and official seal. _________________________________ Notary Public Print Name: ____________________________ My commission expires: ____________________________ 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