The undersigned named (check one): Executor(s)/Executrix(trices) Administrator(s)/Administratrix(trices) Other Fiduciary Name Street Address City/Town State Zip Code Email Phone Number Co-Fiduciary Name Street Address City/Town State Zip Code Email Phone Number Decline(s) said trust: Signature of Person Declining Notary: Name of Notary State County On day of , 20 the person declining, known to me or proved through satisfactory evidence, signed the document in my presence and swore or affirmed the statement(s) in the documents is/are truthful and accurate. Signature of Notary Public Date Commission ID# Commission Expiration Date Notary Seal DATE FILED FOR COURT USE ONLY ACCEPTANCE/DECLINATION RIGL 33-8-4 PC-3.4 ( Rev. 07/17) State of Rhode Island and Providence Plantations Probate Court Page 1 of 2 STATE OF RHODE ISLAND County of Estate of Alias PROBATE COURT OF THE City or Town of No. PERSON DECLINING SIGN HERE NOTARY SIGN HERE
2
Embed
State of Rhode Island and Providence Plantations Probate ... · ACCEPTANCE/DECLINATION COURT USE ONLY RIGL 33-8-4 PC-3.4 ( Rev. 07/17) State of Rhode Island and Providence Plantations
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
The undersigned named (check one): Executor(s)/Executrix(trices) Administrator(s)/Administratrix(trices)
Other
FiduciaryNameStreet AddressCity/Town State Zip
CodeEmail Phone
NumberCo-FiduciaryNameStreet AddressCity/Town State Zip
CodeEmail Phone
Number Decline(s) said trust:
Signature of Person Declining
Notary:Name of Notary State County
On day of , 20 the person declining, known to me or proved through satisfactory evidence, signed the document in my presence and swore or affirmed the statement(s) in the documents is/are truthful and accurate. Signature of Notary Public Date
Commission ID# Commission Expiration Date Notary Seal
DATE FILEDFOR
COURT USE ONLYACCEPTANCE/DECLINATIONRIGL 33-8-4
PC-3.4 ( Rev. 07/17)
State of Rhode Island and Providence PlantationsProbate Court
On day of , 20 the person declining, known to me or proved through satisfactory evidence, signed the document in my presence and swore or affirmed the statement(s) in the documents is/are truthful and accurate. Signature of Notary Public Date
Commission ID# Commission Expiration Date Notary Seal
Accepts said trust:Signature of Executor/Executrix or Adminstrator/Administratrix Date
Notary:Name of Notary State County
On day of , 20 the executor/executrix or administrator/administratrix, known to me or proved through satisfactory evidence, signed the document in my presence and swore or affirmed the statement(s) in the documents is/are truthful and accurate. Signature of Notary Public Date
Commission ID# Commission Expiration Date Notary Seal
Accepts said trust:Signature of Executor/Executrix or Adminstrator/Administratrix Date
Notary:Name of Notary State County
On day of , 20 the executor/executrix or administrator/administratrix, known to me or proved through satisfactory evidence, signed the document in my presence and swore or affirmed the statement(s) in the documents is/are truthful and accurate. Signature of Notary Public Date
Commission ID# Commission Expiration Date Notary Seal
PC-3.4 ( Rev. 07/17) Page 2 of 2
PERSON DECLINING SIGN HERE
NOTARY SIGN HERE
NOTARY SIGN HERE
NOTARY SIGN HERE
EXECUTOR/EXECUTRIX OR ADMINISTRATOR/ADMINISTRATRIX SIGN HERE
EXECUTOR/EXECUTRIX OR ADMINISTRATOR/ADMINISTRATRIX SIGN HERE