Form 74P- page 1 File No.

__________________

THE QUEEN’S BENCH

_____________________ Centre

RENUNCIATION OF ADMINISTRATION

IN THE ESTATE OF ______________________________________________________, deceased.

Whereas _________________________________________, late of _________________, in the
Province of Manitoba, deceased, died o or about the _______ day of ________________, 20______,
intestate, being at the time of his death habitually resident in the ______________ of _______________
in Manitoba;

And whereas I, ________________________________, of the _______________________________, in

the Province of Pampanga, am his lawful and his only next-of-kin (to be varied according to the facts);

Now I, _________________________________, do hereby expressly renounce all my right and title of

letters of administration of the property of the deceased.

IN WITNESS WHEREOF I have hereunto set my hands, this ________ day of ________________, 20____

Signed in the presence of

___________________________________ ____________________________________

Note: affidavit of execution to be attached or endorsed