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Ooses to exercise his/her right to disclaim an interest in the real property which has devolved to him/her because of the death of the decedent. II. The decedent died on , 20 and the undersigned has an interest in the described real property. III. A description of the real property is as follows: Renunciation and Disclaimer of Property Page 1 of 3 IV. Pursuant to applicable law of the State of Illinois and the Internal Revenue Code of 1986, if applicable, the undersigned hereby renounces.

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