LIST OF AND RELEASE BY ALL PERSONS, OTHER THAN THE APPLICANT, ENTITLED TO SUCCEED TO THE ASSETS OF THE SAID DECEASED (as per item 4 of Schedule I to the Payments to Estates Regulations, 1996)
NOTE: Not to be completed by the applicant in Schedule I to the Payments to Estates Regulations, 1996. To be signed by the legal guardians on behalf of minors.
I hereby release all my interest in the amount payable by Her Majesty in right of Canada to the estate of the late (Full name of deceased)
in favour of (Full name of applicant).
|Full name of persons entitled to inherit||Relationship to the deceased||Age (if minor)||Address and Phone Number||Signature||Witness (name in capital letters and signature)|
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