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State:
Tennessee
Control #:
TN-04-03
Format:
Word
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Description Tennessee Renunciation Annuity

This form is a Renunciation and Disclaimer of Life Insurance or Annuity Contract proceeds, where the beneficiary gained a rightful interest in the proceeds upon the death of the decedent, but, has chosen to terminate his/her interest in the proceeds pursuant to the Tennessee Code, Title 31, Chapter 1. The beneficiary attests that he/she will file the disclaimer 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 acknowledgement and a certificate to verify delivery.

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