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RENUNCIATION - =_
~~RLI~D ~Q,. PA
GISTER OF WILLS
~-y~ ~ ~`` ~ ~ COUNTY, PENNSYLVANIA
Estate of ~~ r i s C. Q i fit' ~
,Deceased
I, ~~0~4 ~ ~ ~ lJ~~ry
in my capacity/relationship as
(Pant Name)
~ ./~
of the above Decedent, hereby renounce the right to
administer the Estate of the Decedent and respectfully request that Letters be issued to
~ ~~`C7 l L~ ~ t
~~1~ ` ~i~
(Date)
Executed in Register's Offcce
Sworn to or affirmed and subscribed
before me this day
of
Deputy for Register of Wills
Form RW-06 rev. 10.13.06
(signature)
6DO ~~'lrrg~l !'tY~,
(Street Address)
L,4~lP.EL, MD zo~~~.
(City, State, Zip)
Executed out of Register's Offrce
Before the undersigned personally appeared the
party executing this renunciation and certified
that he or she executed the renunciation for the
purp es state within on this ~_ day
of ~,,
otary P lic
My Commission Expires:~~~~~~-9 ~%
(Signature and Seal of Notary or other official qua'. ' `"" ~' '• ~
administer oaths. Show date of expiration of Not j ~~ ~ •', y =_
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