AFFIDAVIT OF WAIVER OF RIGHTS

OF INHERITANCE
PROVINCE OF______________ )
) ss.
________________JUDICIAL DISTRICT )
I, the undersigned, affirm and state as follows:
I am an heir at law, by Will and/or statute, of the estate of
______________________________________, deceased, and do hereby waive
my rights, present and future, in the estate of the above-named decedent.

I wish to:
______ Waive all my rights of inheritance
______ ..
Dated this ____ day of ______________, 20__.
_____________________________ _______________________
Signature of Shareholder Relationship to Deceased PROVINCE OF ) ss.
_______________ JUDICIAL DISTRICT ) THIS IS TO CERTIFY that on the ___day of
________, 20___, before me, the undersigned, a Notary Public in and for the
Province of _________, duly commissioned and sworn, personally appeared
___________________ to me known and known to me to be the identical
individual described above, and acknowledged that he/she signed the same freely
and voluntarily for the uses and purposes therein mentioned. GIVEN UNDER MY
HAND and official seal the day and year last above written.
Waiver of Inheritance

TO: Estate of John Doe

The undersigned renounces any and all right, title or interest in and to any gift, inheritance, bequest
or other property or assets of the Estate of John Doe.

The undersigned acknowledges that the executors of the Estate will rely on this Waiver of
Inheritance in distributing the property and assets of the Estate.

This Waiver of Inheritance shall be binding upon the undersigned, and his or her heirs, executors,
legal representatives and assigns.

_________________________
Renouncer
Date:
_________________________
Witness