Fill and Sign the Nc Renunciation Form

© 2016 - U.S. Legal Forms, Inc.       NORTH CAROLINA RENUNCIATION AND DISCLAIMER OF PROPERTY INTEREST [Testate Decedent] Control Number: NC-09-03 I. TIPS ON COMPLETING THE FORMS The form(s) in this packet may contain “form fields” created using Microsoft Word or Adobe Acrobat (“.pdf” format). “Form fields” facilitate completion of the forms using your computer. They do not limit your 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 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. The form was created to function in this manner. II. DISCLAIMER These materials were developed by U.S. Legal Forms, Inc. based upon statutes and forms for the State of North Carolina. 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 in your state. 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 OR 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 OF SUCCESSION – INDIVIDUAL (N.C. Gen. Stat. § 31-B) I. Pursuant to the “ Renunciation of Property and Renunciation of Fiduciary Powers Act”, Chapter 31-B of the North Carolina General Statutes, the undersigned, __________________ , elects to exercise his right to disclaim a partial interest the entire interest in the property described below. II. The undersigned has an interest in the property in the estate of __________________ (decedent) who died on ________________________ . 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. Pursuant to the provisions of paragraph ________________________ of decedent's last will and testament dated ________________________ (the "Will"), the undersigned ________________________ is entitled to receive the following property:             . V. Pursuant to applicable law of the State of North Carolina, and the Internal Revenue Code of 1986, if applicable, the undersigned hereby renounces and disclaims the property or asset of the deceased described in paragraph IV in its entirety or the following percentage or share             and retains the following percentage or share             . - 1 - VI. The property renounced or disclaimed devolves to others pursuant to the provisions of applicable North Carolina 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 Estate of ________________________ to be filed with the court in the above-captioned proceeding. DATED this ______ day of ____________ , 20 ______ . Signature of Disclaiming Party       Print or Type Name State of North Carolina County of ___________________ I, ______________________________ , a Notary Public in and for said state and county, do hereby certify that ______________________________ personally appeared before me this day and acknowledged the execution of the foregoing instrument. Witness my hand and official seal this ______ day of __________________ , 20 ______ . Notary Public My commission expires:       Type or Print Name - 2 - CERTIFICATE OF DELIVERY I certify that on the ______ day of ____________ , 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 this the ______ day of ____________ , 20 ______ .       Signature of Party       Printed Name       Address       City, State, and Zip       Telephone Number RECEIPT AND ACKNOWLEDGEMENT OF DELIVERY 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 State of North Carolina County of ___________________ - 3 - I, ______________________________ , a Notary Public in and for said state and county, do hereby certify that ______________________________ personally appeared before me this day and acknowledged the execution of the foregoing instrument. Witness my hand and official seal this ______ day of __________________ , 20 ______ . Notary Public My commission expires:       Type or Print Name Prepared by: [name] [street address] [city and state] [zip] Record and Return to: [name] [street address] [city and state] [zip] - 4 -