Fill and Sign the Maine Intestate 497310730 Form

STATE OF MAINE       COUNTY PROBATE COURT DOCKET       In Re the Estate of:       (Deceased) RENUNCIAITON AND DISCLAIMER OF PROPERTY (Intestate Succession) I. Pursuant to the Maine Statutes, Part 10, Art. II, the undersigned,       , chooses to exercise his right to disclaim a partial interest or the entire interest in the described property. II. The decedent died intestate on       , 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. V. Pursuant to applicable law of the State of Maine, 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. Renunciation and Disclaimer of Property Page 1 of 3 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. DATE:       Signature       Type or Print Name STATE OF MAINE , COUNTY OF       The foregoing instrument was acknowledged before me on       (date) by       (name of person acknowledged). Signature of Notary Public       Print or Type Name of Notary Public Notary Public, State of Maine Date Commission Expires:       I certify that on the       , 20       , 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:       Signature of Party       Print or Type Name Renunciation and Disclaimer of Property Page 2 of 3       Street Address       City, State and Zip Code       Telephone Number 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 Renunciation and Disclaimer of Property Page 3 of 3