Renunciation-Consent (Creditors Refusal)

MISSOURI CIRCUIT COURT, TWENTY-SECOND JUDICIAL CIRCUIT PROBATE DIVISION, CITY OF ST. LOUIS RENUNCIATION / CONSENT 226 CREDITOR222S REFUSAL We, the undersigned persons entitled to obtain a creditor222s refusal of letters on the estate of , deceased, of the City of St. Louis, Missouri, who died on the day of , 20, hereby renounce our right to obtain a creditor222s refusal of letters on the estate of said decedent, and request that a creditor222s refusal of letters be issued to . STATE OF MISSOURI } SS OF } Subscribed and sworn to before me this day of , 20. Notary Public My Commission Expires: American LegalNet, Inc. www.FormsWorkFlow.com