Renunciation in favour of NSW Trustee & Guardian124 http://www.ucprforms.lawlink.nsw.gov.au/ucprforms/index.html

Form 124 (version 2)

SCR Part 78 rules 17(1) and 18(2)

(SCR Form 105)

RENUNCIATION IN FAVOUR OF NSW TRUSTEE & GUARDIAN

COURT DETAILS
Court	Supreme Court of New South Wales
Division	Equity
List	Probate
Registry	Sydney
Case number
TITLE OF PROCEEDINGS
	The estate of [name of deceased]
	Late of:
FILING DETAILS
Filed for	[name/s] plaintiff[s]
#Legal representative	[solicitor on record] [firm]
#Legal representative reference	[reference number]
Contact name and telephone	[name] [telephone]
Contact email	[email address]

DECLARATION
Name
Address
Occupation
Date

I declare:

1. I am the executor (or one of the executors or as the case may be) appointed by the will dated (date), #and (number) codicils dated (date) #and (date), of (name) late of (place), who died on (date).
2. I have not intermeddled in the estate of the deceased.
3. I renounce all right to probate of the will #and codicils, and to all trusts, powers and authorities expressed by the will #and codicils, to be made or given to me.
4. I request the NSW Trustee and Guardian to apply for administration with the will #and codicils annexed of the estate.

Signature
Name of witness