<p> SUPREME COURT OF QUEENSLAND</p><p>REGISTRY: (Place ) NUMBER: RENUNCIATION OF PROBATE OR ADMINISTRATION WITH THE WILL</p><p>In the [Will/Will and Codicil/Estate of] (name of deceased including any aliases in which assets are held) deceased</p><p>Last address: (insert last address of deceased)</p><p>[Address in will – if different]: (insert address in will)</p><p>TO: The registrar of the Supreme Court of Queensland at [Brisbane, Rockhampton, Townsville, Cairns].</p><p>1. The deceased died at (place), on or about (date), having duly made and executed [his/ her] last will dated (date) [and codicil/s, dated, (date)] and appointed me, (name), of (address) executor [or residuary legatee (or as the case may be)].</p><p>2. I (full name) of (address) expressly renounce all my right and title to the probate and execution of the will [and codicils] [or to administration with the will [and codicils] of the estate of the deceased]. </p><p>Signed: </p><p>Dated: </p><p>RENUNCIATION OF PROBATE OR ADMINISTRATION WITH THE WILL Filed on behalf of the applicant Name: Form 114, Version 1 Address: Uniform Civil Procedure Rules 1999 Phone No: Rule 603 Fax No:</p>