INSTRUCTIONS: WASHINGTON D.C. CERTIFICATE OF FILING DISCLAIMER

The form discussed in this article is used to file a disclaimer of interest in assets related to a Washington D.C. probate case. This document can be obtained from the website maintained by the Washington D.C. judicial system.

Washington D.C. Certificate Of Filing Disclaimer Step 1: Enter the name of the person whose estate is concerned on the first blank line.

Washington D.C. Certificate Of Filing Disclaimer Step 2: Enter your name on the next blank line.

Washington D.C. Certificate Of Filing Disclaimer Step 3: Enter the date on which you submitted the disclaimer on the next blank line.

Washington D.C. Certificate Of Filing Disclaimer Step 4: Enter the month in which you submitted the disclaimer on the next blank line.

Washington D.C. Certificate Of Filing Disclaimer Step 5: Enter the last two digits of the year in which you submitted the disclaimer on the next blank line.

Washington D.C. Certificate Of Filing Disclaimer Step 6: Enter the name of the person whose disclaimer was filed on the next blank line.

Washington D.C. Certificate Of Filing Disclaimer Step 7: Enter the street address of the person whose disclaimer was filed on the next blank line.

Washington D.C. Certificate Of Filing Disclaimer Step 8: Enter the city, state and zip code of the person whose disclaimer was filed on the next blank line.

Washington D.C. Certificate Of Filing Disclaimer Step 9: Enter the telephone number of the person whose disclaimer was filed on the next blank line.

Washington D.C. Certificate Of Filing Disclaimer Step 10: Enter the name of the person whose assets are concerned on the next blank line.

Washington D.C. Certificate Of Filing Disclaimer Step 11: Check the next box if submitting this in relation to a case. Enter the case number.

Washington D.C. Certificate Of Filing Disclaimer Step 12: Check the next box if no case relating to this disclaimer has been opened in the probate division.

Washington D.C. Certificate Of Filing Disclaimer Step 13: Enter your name on the next blank line.

Washington D.C. Certificate Of Filing Disclaimer Step 14: Enter your signature on the next blank line.

Washington D.C. Certificate Of Filing Disclaimer Step 15: Enter your address and telephone number on the last four blank lines.