Disclaimer Inheritance Form PDF Details

When creating a will, it's important to have all your bases covered. One detail you may not think of is how you want your assets divided up if something happens to you. A disclaimer inheritance form can help make sure your wishes are carried out, even if something happens to the executor of your will. If you're interested in learning more about disclaimer inheritance forms and how they can help protect your assets, keep reading. We'll explain what they are, who should use them, and how they work. By the end of this post, you'll have a better understanding of why these forms are so important for estate planning.

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Form NameDisclaimer Inheritance Form
Form Length1 pages
Fillable fields0
Avg. time to fill out15 sec
Other namescalifornia disclaimer of inheritance form, inheritance disclaimer form, sample disclaimer of inheritance form, disclaimer of interest in estate form

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[AS 13.12.801]

STATE OF _____________________)

___________ JUDICIAL DISTRICT : ss.

or COUNTY OF _________________)

I, ________________________________, swear upon my oath or affirm under

(print full legal name)

penalty of perjury, that to the best of my knowledge, information and belief:

1._________________________ (“Decedent”) died on ___________________,

(deceased shareholder)

(date of death)

as shown by the attached certified copy of the Decedent’s Death Certificate.

2.Decedent owned ______________ shares of Settlement Common Stock


(“Stock”) in Tanadgusix Corporation.

3.I am the _________________________________________ of the Decedent

(relationship to Decedent)

and may have a present or prospective interest in the Stock which was owned by the Decedent.

4.Pursuant to AS 13.12.801, I hereby disclaim any and all interest in the Stock owned by the Decedent.

I agree to defend, indemnify and hold Tanadgusix Corporation harmless from any claims, demands, fees or expenses that result in any way from the Tanadgusix Corporation's reliance upon this Affidavit.

DATED at _________________________, on this ____ day of ___________, 20___.

(city, state)



(sign full legal name in presence of notary public)

Name (please print):_______________________________



Telephone No.:_________________________________


_____ day of _________________, 20___.


Notary Public in and for _____________

My Commission Expires:________________

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disclaimer inheritance form neede spaces to fill out

In the I agree to defend indemnify and, DATED at on this day of, city state, AFFIANT, Signature, sign full legal name in presence, Name please print Address, SUBSCRIBED AND SWORN TO OR, day of, and Notary Public in and for My box, note down your details.

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