Renunciation

ALWAYS CONTACT DAVIES SOLICITORS AND SEEK LEGAL ADVICE BEFOREUSING THIS FORMIN THE HIGH COURT OF JUSTICEFAMILY DIVISIONTHE DISTRICT PROBATE REGISTRY AT IPSWICHIn the Estate of * deceased* of * deceased died on the day of 20 having made and dulyexecuted her/his last Will and testament dated {with Codicil/s thereto dated{respectively} and } and thereof appointed the undersignedto be sole/an executor {and {a} residuary legatee and devisee (in trust) {jointly with}}I, the saidofdeclare that I have not intermeddled and will not hereafter intermeddle in the estate of the saiddeceased with intent to defraud creditors and I do hereby renounce all my right and title toProbate and execution of the said Will {with Codicil(s)} {and to Letters of Administration(with the said Will {and Codicils} annexed) of the estate of the said deceased}SIGNED as a Deed by the said ))on )in the presence of: )Davies Solicitors30 Woollards LaneGreat ShelfordCambridge CB22 5LZ

DATED 20RENUNCIATIONin the Estate of*Davies Solicitors30 Woollards LaneGreat ShelfordCambridge CB22 5LZ