Affidavit of Renunciation
Affidavit of Renunciation
IMPORTANT: If you renounce your shares, you have no right to dictate who will receive those shares.
The inheritance of those shares will be determined according to the decedent’s will or,
if the decedent did not have a will, under the laws of intestate succession.
A minor (under 18 years of age) cannot renounce their stock nor can the custodian renounce their stock for them.
A renunciation is not valid unless it is made within six (6) months of the death of the testator.
Occasionally, someone may want their renunciation to take effect only if one or more of the other heirs also
relinquishes their stock. The Affidavit of Renunciation provides for this whereby a person checks this item on the
Affidavit and lists the names and number of shares of the other heir or heirs who must renounce their interest.
State of:__________________________________ )
)ss:
COUNTY/DISTRICT_______________________ )
2. Pursuant to Intestate Succession or Will, I am entitled to inherit _____ shares of Kikiktagruk Inupiat Stock.
3. I hereby waive, relinquish and renounce my right to the above referenced stock.
_____ Initial ONLY if applicable to the following statement: This renunciation will not take effect unless
and until renunciation(s) is/are received from the following individuals for the following shares of the
decedent’s stock:
Name No of Shares
______________________________________________ ______________
______________________________________________ ______________
______________________________________________ ______________
If such renunciations are not received within 45 days of the date of this renunciation,
then this renunciation shall be null and void and of no force or effect.
___________________________________
Signature
_________________________________
Notary signature
Notary Public in and for:______________
My Commission expires:______________