This form is a Renunciation and Disclaimer of Property acquired by intestate succession. The decedent died intestate (without a will) and the beneficiary gained an interest in the property. However, according to the Indiana Code, Title 29, Chapter 2, the beneficiary wishes to disclaim a portion of, or the entire interest in the property. The beneficiary attests that the disclaimer will be filed no later than nine months after the death of the decedent. The form also contains an acknowledgment and a certificate to verify delivery.