IN THE ORPHANS' COURT FOR (OR) BEFORE THE REGISTER OF WILLS FOR IN THE ESTATE OF: ESTATE NO. , MARYLAND FOR: ¨ REGULAR ESTATE PETITION FOR ADMINISTRATION Estate value in excess of $50,000. (If spouse is sole heir or legatee, $100,000.) Values for DOD before October 1, 2012 are $30,000 and $50,000 if spouse is the sole legatee or heir. ¨ SMALL ESTATE PETITION FOR ADMINISTRATION Estate value of $50,000 or less. (If spouse is sole heir or legatee, $100,000.) Values for DOD before October 1, 2012 are $30,000 and $50,000 if spouse is the sole legatee or heir. ¨ ¨ WILL OF NO ESTATE Complete items 2 and 9 LIMITED ORDERS Complete item 2 and attach Schedule C Complete and attach Schedule A. Complete and attach Schedule B. NOTE: For the purpose of computing whether an estate qualifies as a small estate, value is determined by the fair market value of property less debts of record secured by the property as of the date of death, to the extent that insurance benefits are not payable to the lien holder or secured party for the secured debt. See Code, Estates and Trusts Article, §5-601 (d). The Petition of: 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 of the United States who is the spouse of the decedent, an ancestor of the decedent, a descendant of the decedent, or a sibling of the decedent or (b) a trust company or any other corporation authorized by law to act as a personal representative. 2. The Decedent, domiciled in , at (County) (place of death) , State of and died on the day of , was , 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 decedent's estate pursuant to §5-104 of the Estates and Trusts Article, Annotated Code of Maryland because: 5. I am mentally competent. 6. I am not a disqualified person because of feloniously and intentionally killing, conspiring to kill, or procuring the killing of the decedent. Regular Estate - RW1112 Small Estate - RW1103 Will of No Estate - RW1135 Limited Order - RW1147 Rev. 01/01/2016 Page 1 of 2 with Schedule A (RW1136) Page 1 of 2 with Schedule B (RW1137) Page 1 of 2 Page 1 of 2 with Schedule C (RW1148) American LegalNet, Inc. www.FormsWorkFlow.com ROWNET PDF 7. (Check one of the following boxes) ¨ ¨ I have not been convicted of fraud, extortion, embezzlement, forgery, perjury, theft or any other serious crime that reflects adversely on my honesty, trustworthiness, or fitness to perform the duties of a personal representative or I was convicted of such a crime, namely but the following good cause exists for me to be appointed as personal representative , in (year) , 8. I am not excluded otherwise by law from serving as a personal representative. 9. 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: 10. Other proceedings, known to petitioner, regarding the decedent or the estate are as follows: 11. If appointed, I accept the duties of the office of personal representative and consent to personal jurisdiction in any action brought in this State against me as personal representative or arising out of the duties of the office of personal representative. WHEREFORE, I request appointment as personal representative of the decedent's estate and the following relief as indicated: ¨ ¨ ¨ ¨ ¨ that the will and codicils, if any, be admitted to administrative probate; that the will and codicils, if any, be admitted to judicial probate; that the will and codicils, if any, be filed only; that only a limited order be issued; that the following additional relief be granted: I solemnly affirm under the penalties of perjury that the contents of this document are true to the best of my knowledge, information and belief. Attorney Address Address Telephone Number Telephone Number (optional) Facsimile Number Email Address Regular Estate - RW1112 Small Estate - RW1103 Will of No Estate - RW1135 Limited Order - RW1147 Rev. 01/01/2016 Petitioner Petitioner Petitioner Date Date Date Page 2 of 2 with Schedule A (RW1136) Page 2 of 2 with Schedule B (RW1137) Page 2 of 2 Page 2 of 2 with Schedule C (RW1148) American LegalNet, Inc. www.FormsWorkFlow.com ROWNET PDF