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IN THE ORPHANS' COURT FOR<br />

(OR) ________________________, MARYLAND<br />

BEFORE THE REGISTER OF WILLS FOR<br />

IN THE ESTATE OF:<br />

_________________________________________ ESTATE NO. __________<br />

SCHEDULE - A<br />

Regular Estate<br />

Estimated Value of Estate <strong>and</strong> Unsecured Debts<br />

Personal property (approximate value) .......... $ ________<br />

Real property (approximate value) .............. $ ________<br />

Value of property subject to:<br />

(a) Direct Inheritance Tax of ____ % ......... $_________<br />

(b) Collateral Inheritance Tax of ____ % ...... $_________<br />

Unsecured Debts (approximate amount) ......... $ ________<br />

I solemnly affirm under the penalties of perjury that the<br />

-176-<br />

________<br />

contents of the foregoing schedule are true to the best of my<br />

knowledge, information, <strong>and</strong> belief.<br />

_____________________________ ________________________________<br />

Attorney Petitioner Date<br />

_______________________________ ______________________________<br />

Address Petitioner Date<br />

_______________________________ ______________________________<br />

Petitioner Date

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