Form SE1C - Renunciation of voluntary administration
SURROGATE'S COURT OF THE STATE OF NEW YORK
COUNTY OF ________
________X
VOLUNTARY ADMINISTRATION, Estate of RENUNCIATION OF VOLUNTARY
ADMINISTRATION
________,
Deceased File No. ________
________X
TO THE SURROGATE'S COURT:
The undersigned, whose domiciliary address is
____________
(Street address) (City/Town/Village) (State) (Zip)
Mailing Address ____________
(If different from domicile)
being of full age and [check and complete] a distributee of the above-named decedent and related as a
________,
(state relationship)
[ ] a fiduciary or legatee named in the decedent's will dated ________, hereby personally appears herein and renounces all right to act as voluntary administrator/trix of the goods, chattels and credits of the decedent.
______________
(Renouncing Party)
______________
(Print Name)
STATE OF NEW YORK )
) ss.:
COUNTY OF ________ )
On the ________ day of ________, 19 ________, before me personally came ________, known to me to be the individual described in and who executed the foregoing instrument, and to me such person duly acknowledged that he/she executed the same.
______________
Notary Public
My commission expires:________
NAME OF ATTORNEY: ____________
ADDRESS: ____________
TELEPHONE NO.: ________
SE-1C (3/91)