PARRIS N. GLENDENING, Governor                             Ch. 693

NAME                                                                           ADDRESS

NAME                                                                           ADDRESS

NAME                                                                           ADDRESS

EACH OF US STATES:

1.    I AM (A) AT LEAST 18 YEARS OF AGE AND EITHER A CITIZEN OF THE UNITED
STATES OR A PERMANENT RESIDENT ALIEN SPOUSE OF THE DECEDENT OR (B) A
TRUST COMPANY OR ANY OTHER CORPORATION AUTHORIZED BY LAW TO ACT
AS A PERSONAL REPRESENTATIVE.

2.    THE DECEDENT,                                                                        WAS DOMICILED

IN_________________ COUNTY, STATE OF____________________________ AND

DIED ON THE_______________________DAY OF___________________ 19

AT_______________________________________

3.    IF THE DECEDENT WAS NOT DOMICILED IN THIS COUNTY AT THE TIME OF
DEATH, THIS IS THE PROPER OFFICE IN WHICH TO FILE THIS PETITION BECAUSE:

4. I AM ENTITLED TO PRIORITY OF APPOINTMENT AS PERSONAL REPRESENTATIVE
OF THE DECEDENTS ESTATE PURSUANT TO § 5-104 OF THE ESTATES AND TRUSTS
ARTICLE, ANNOTATED CODE OF MARYLAND BECAUSE:

AND I AM NOT EXCLUDED BY § 5-105(B) OF THE ESTATES AND TRUSTS ARTICLE,
ANNOTATED CODE OF MARYLAND FROM SERVING AS PERSONAL
REPRESENTATIVE

5. I HAVE MADE A DILIGENT SEARCH FOR THE DECEDENT'S WILL AND TO THE BEST
OF MY KNOWLEDGE:

□ NONE EXISTS; OR

□ THE WILL DATED_____________________________ (INCLUDING CODICILS, IF

ANY, DATED___________________) ACCOMPANYING THIS PETITION IS THE LAST

WILL AND IT CAME INTO MY HANDS IN THE FOLLOWING MANNER:

AND THE NAMES AND LAST KNOWN ADDRESSES OF THE WITNESSES ARE:

- 4015 -