Fill and Sign the Renunciation and Disclaimer of Property Received by Intestate Succession South Carolina Form

STATE OF SOUTH CAROLINA ) ) IN THE PROBATE COURT COUNTY OF       ) ) RENUNCIATION AND DISCLAIMER IN THE MATTER OF: ) OF PROPERTY )       ) _______________________ ) CASE NUMBER:       RENUNCIATION AND DISCLAIMER OF PROPERTY (Intestate Succession ) I. Pursuant to the South Carolina Code of Laws, Title 62, Article 2, § 62-2-106, the undersigned,       chooses to exercise his/her 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: Describe property or State "See Exhibit A" and attach description IV. Pursuant to applicable law of the State of South Carolina, 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. V. The property devolves to others pursuant to the provisions of applicable State law as though the undersigned had predeceased the decedent. VI. 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 the ______ day of ____________ , 20 ______ . Renunciation and Disclaimer of Property Page 1 of 2 Signature       Type or Print Name STATE OF SOUTH CAROLINA COUNTY OF __________________ The foregoing instrument was acknowledged before me this       (date) by       (name of person acknowledged). (SEAL) Notary Public My Commission expires:       Type or Print Name 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 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 2 of 2