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Prepared by U.S. Legal Forms, Inc.
Copyright 2016 - U.S. Legal Forms, Inc.
STATE OF NEW JERSEY
Renunciation And Disclaimer of Property (Real Property Interest)
Control Number – NJ - 01 - 03
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NOTE ABOUT COMPLETING THE FORMS
The forms in this packet contain “form fields” created using Microsoft Word. “Form fields”
facilitate completion of the forms using your computer. They do not limit you ability to print the
form “in blank” and complete with a typewriter or by hand.
If you do not see the gray shaded form fields, go 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 in this button and the form fields will be visible.
The forms are locked which means that the content of the forms cannot be changed. You can
only fill in the information in the fields.
If you need to make any changes in the body of the form, it is necessary for you “unlock” or
“unprotect” the form. IF YOU INTEND TO MAKE CHANGES TO THE CONTENT, DO
SO BEFORE YOU BEGIN TO FILL IN THE FIELDS. IF YOU UNLOCK THE
DOCUMENT AFTER YOU HAVE BEGUN TO COMPLETE THE FIELDS, WHEN
YOU RELOCK, ALL INFORMATION YOU ENTERED WILL BE LOST. To unlock
click on “Tools” in the Menu bar and then selecting “unprotect document”. You may t hen be
prompted to enter a password. If so, the password is “uslf”. That is uslf in lower case letters
without the quotation marks . After you make the changes relock the document before you
being to complete the fields.
After any required changes and re-protecting the document, click on the first form field and enter
the required information. You will be able to navigate through the document from form field to
form field using your tab key. Tab to a form field and insert your data. If problems, please let us know.
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DISCLAIMER
These materials were developed by U.S. Legal Forms, Inc. based upon statutes and forms for the
State of New Jersey. All Information and Forms are subject to this Disclaimer: All form s 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. 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 OF 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.
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Docket No.: _____________
State of New Jersey
__________________ County Surrogate’s
Court
In the matter of the Estate
______________________________, Deceased
}SS.
RENUNCIATION AND DISCLAIMER OF
PROPERTY (Real Property Interest)
I.
Pursuant to the New Jersey Statutes, Title 3A, the undersigned, ________________________, chooses to
exercise his/her right to disclaim an interest in the real property which has devolved to him/her because of the
death of the decedent. II.
The decedent died on __________________ ______, 20______ and the undersigned has an interest in the
described real property.
III.
A description of the real property is as follows: ____________________________________________________________ IV.
The undersigned attests that the disclaimer of the real property interest will be filed no later than nine m onths
after the death of the decedent.
V.
Pursuant to applicable law of the State of New Jersey and the Internal Revenue Code of 1986, if applicable,
the undersigned hereby renounces and disclaims any interest or right to the real of the deceased described in
paragraph III.
VI.
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The real 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 decede nt'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. A copy of the disclaimer shall be recorded in the office of
the county clerk and recorder of the county in which the property or interest disclaimed is located.
DATED this the ______ day of ____________, 20______.
Signature of Party
Printed Name
Address
City, State, and Zip
Telephone Number
State of New Jersey, County of , ss:
I CERTIFY that on the ______ day of __________________, 20______,
______________________________ and ______________________________ personally came before me and
acknowledged under oath to my satisfaction, that this person (or if more than one, each person):
a) is named in and personally signed the attached document; and
b) signed and delivered this document as his/her/their act and deed; and
Notary Public
My commission expires:
Type or Print Name
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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
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