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4.6
Disclaimer in Accordance with 20 Pa. C.S.A. §6201
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1.
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Jane R. Dunn died on
March 29, 2001, without a Will, survived by her four children, James,
John, William, and Mary Dunn. Her probate estate consists of real
estate known as 54321 First Avenue, Philadelphia, Pennsylvania, valued
at $25,000, and other assets valued at $10,000. |
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2.
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Her probate estate is
subject to the payment of funeral expenses, administration expenses,
debts and taxes totaling approximately $5,000, leaving a net distributable
estate of $30,000. |
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3.
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Letters of Administration
were granted by the Register of Wills of Philadelphia County on April
15, 2001 to William Dunn. |
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4.
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The intestate laws of
the Commonwealth of Pennsylvania provide that where a person dies
without a Will and leaves no surviving spouse, the surviving children
shall be entitled to share the estate equally. |
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5.
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James and John Dunn are
married, have no issue and have made homes of their own. William and
Mary Dunn are unmarried and were members of Decedent's household at
the time of her death. |
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6.
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James and John Dunn desire
to disclaim their intestate interests in their mother's estate. |
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Therefore,
intending to be legally bound hereby, we, the undersigned children of
Jane R. Dunn, Deceased, do hereby disclaim the interest in the estate
of Jane R. Dunn, Deceased, to which each of us is entitled under the intestate
laws of the Commonwealth of Pennsylvania.
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We
have hereunto set our hands and seals this _____ day of _____________, 20
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| Witness: |
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[SEAL]
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James Dunn
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| Witness: |
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[SEAL]
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John Dunn |
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COMMONWEALTH OF PENNSYLVANIA |
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| COUNTY OF PHILADELPHIA |
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On
this ______ day of _________________, 20____ , before me, the undersigned,
a Notary Public in and for the Commonwealth of Pennsylvania, personally
appeared James and John Dunn, satisfactorily proven to me to be the persons
described in the foregoing Disclaimer, who acknowledged that they executed
the same for the purposes therein contained and that they desired it to
be recorded as such. |
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| Note: |
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An Affidavit must
be attached to permit recording of Disclaimer affecting real estate.
20 Pa. C.S.A. §6204 governs filing, delivery and recording of Disclaimer.
Reference should also be made to 20 Pa. C.S.A. §2204 (regarding Disclaimers
resulting from spousal elections), 72 Pa. C.S.A. §1716(c) (regarding
inheritance tax consequences of Disclaimer and time period), and Internal
Revenue Code §2518 (regarding gift tax consequences of Disclaimer
and time period.) |
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