IN THE SUPREME COURT OF VICTORIA IN ITS PROBATE JURISDICTION 20 No.

In the matter of the Will/Estate of [name] Deceased

Application by [name] Plaintiff(s)

RENUNCIATION OF PROBATE Date of document: Filed on behalf of the plaintiff. Prepared by: [name and address of lodging party] Ref: DX: CODE: [solicitor code] Tel: [number] E-mail: [e-mail address]

This is the Renunciation marked "A" referred to in the affidavit of [name] and sworn on [date]

Before me:______Witness Full name Address Qualification

TO ALL TO WHOM THESE PRESENTS SHALL COME

I, [name] of [address] send greetings:

WHEREAS [name of deceased] deceased made his/her last will and testament bearing the date [date] and thereby appointed me [name] executor thereof

AND WHEREAS [name of deceased] died on [date] without having altered or revoked his/her said will

AND WHEREAS I have never in any way acted and have wholly refused to act in proving and executing the will nor have I in any way intermeddled in the estate or affairs of the deceased and I desire to renounce all and every right title and interest in or to probate and execution of the will and administration of the estate of the deceased

Page 1 of 2 IN THE SUPREME COURT OF VICTORIA IN ITS PROBATE JURISDICTION 20 No.

In the matter of the Will/Estate of [name] Deceased

Application by [name] Plaintiff(s)

RENUNCIATION OF PROBATE

NOW THESE PRESENTS WITNESS that I, [name] do wholly and absolutely disclaim and renounce all my right and title to the probate and execution of the will or to letters of administration with the same annexed and also my right to administer the deceased's estate.

Dated SIGNED by [name] ______

in the presence of [name] SIGNATURE of witness ______

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