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IN THE ORPHANS' COURT FOR

IN THE orphans ' COURT FOR, MARYLAND(OR)BEFORE THE REGISTER OF WILLS FORIN THE ESTATE OF:ESTATE OF INTERESTED PERSONSS pecify:Heir/Legatee/Personal RepresentativeName (and age if under 18 years)Last Known Addressincluding Zip CodeRelationshipto persons include decedent's heirs (surviving spouse, children, and other persons who would inherit if there were no will)and, if decedent died with a will, the personal representative named in the will and all legatees (persons who inherit under thewill). All heirs must be listed even if decedent dies with a This list must be filed (a) within 20 days after appointment of a personal representative under administrative probate or (b) at thetime of filing a Petition for Judicial probate or a Petition for Administration of a Small :I solemnly affirm under the penalties of perjury that the contents of the foregoing list of interested persons are true tothe best of my knowledge, information , and NumberDateDateDateROWNET1/1/2016 AttorneyPetitioner/Personal RepresentativePetitioner/Personal RepresentativePetitioner/Personal RepresentativeFacsimile NumberEmail Address

time of filing a Petition for Judicial Probate or a Petition for Administration of a Small Estate. Instructions: I solemnly affirm under the penalties of perjury that the contents of the foregoing list of interested persons are true to the best of my knowledge, information, and belief. Address Telephone Number Date Date Date ROWNET 1/1/2016

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Transcription of IN THE ORPHANS' COURT FOR

1 IN THE orphans ' COURT FOR, MARYLAND(OR)BEFORE THE REGISTER OF WILLS FORIN THE ESTATE OF:ESTATE OF INTERESTED PERSONSS pecify:Heir/Legatee/Personal RepresentativeName (and age if under 18 years)Last Known Addressincluding Zip CodeRelationshipto persons include decedent's heirs (surviving spouse, children, and other persons who would inherit if there were no will)and, if decedent died with a will, the personal representative named in the will and all legatees (persons who inherit under thewill). All heirs must be listed even if decedent dies with a This list must be filed (a) within 20 days after appointment of a personal representative under administrative probate or (b) at thetime of filing a Petition for Judicial probate or a Petition for Administration of a Small :I solemnly affirm under the penalties of perjury that the contents of the foregoing list of interested persons are true tothe best of my knowledge, information , and NumberDateDateDateROWNET1/1/2016 AttorneyPetitioner/Personal RepresentativePetitioner/Personal RepresentativePetitioner/Personal RepresentativeFacsimile NumberEmail Address


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