Pa Renunciation

Pennsylvania Renunciation And Disclaimer of Property from Life Insurance or Annuity Contract
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State:
Pennsylvania
Control #:
PA-03-03
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Description Disclaimer Annuity

This form is a Renunciation and Disclaimer of Life Insurance or Annuity Contract proceeds where the beneficiary gained an interest in the proceeds upon the death of the decedent, but, pursuant to the Pennsylvania Statutes, Title 20, Chapter 62, the beneficiary has chosen to disclaim his/her interest in the proceeds. The beneficiary also attests that the form will be filed no later than nine months after the death of the decedent in order to secure the validity of the disclaimer. The form also includes a state specific acknowledgment and a certificate to verify delivery of the document.

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