This form is a Renunciation and Disclaimer of Property granted to the beneficiary through intestate succession. The decedent died intestate and the beneficiary gained an interest in the described property. The beneficiary has chosen to disclaim a portion of or the entire interest he/she has in the property. Based upon the Arkansas Code Title 28, Subtitle 1, Chap. 2 the beneficiary is entitled to disclaim the property and submit a copy of the disclaimer to the decedent's personal representative. The form also contains a state specific acknowledgment and a certificate to verify delivery.