Renunciation of probate123 http://www.ucprforms.lawlink.nsw.gov.au/ucprforms/index.html

Form 123 (version 3)

SCR Part 78 rule 17(1)

SCR Form 94

RENUNCIATION OF PROBATE

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.

Signature of person renouncing
Signature of witness
Name of witness