Superior Court of the District of Columbia
PROBATE DIVISION
ADMINISTRATION NO. ________________________S.E.
______________________________________________________
Name of Decedent
Renunciation, Nomination of Personal Representative and Waiver of Bond
I, ___________________________________________, being a competent adult heir and/or legatee of __________________________________________, deceased, and being familiar with the petition of _____________________________, for Letters of Administration, and being aware of the fact that the petitioner is not an interested person in this estate as defined by D.C. Code §20-101(d) (1989 Replacement Volume), and that according to D.C. Code §20-303 (1989 Replacement Volume), I therefore have priority to serve as personal representative of the instant estate in that I am the _______________________ (relationship to decedent) of the deceased, I hereby renounce my right to serve as the personal representative of the Estate of ____________________________, deceased, and nominate _____________________________, petitioner, to service in my stead, and I waive protection of any bond so far as my interest in said estate is concerned.
______________________________________ (signature of heir/legatee)