This form is a Renunciation and Disclaimer of a Real Property Interest held by the beneficiary. The beneficiary gained an interest in the described real property upon the death of the decedent. However, according to the Indiana Code, Title 29, Chapter 2, the beneficiary has decided to disclaim his/her interest in the real property. Therefore, the property will devolve to others as though the beneficiary predeceased the decedent. The form also contains a state specific acknowledgment and a certificate to verify delivery.