IN THE ORPHANS' COURT FOR (OR) , MARYLAND BEFORE THE REGISTER OF WILLS FOR IN THE ESTATE OF: ESTATE NO. SCHEDULE - A Regular Estate Estimated Value of Estate and Unsecured Debts Personal property (approximate value) Real Property (approximate value) Value of property subject to: (a) Direct Inheritance Tax of (b) Collateral Inheritance Tax of Unsecured Debts (approximate amount) % % Attorney Petitioner Date Address Petitioner Date Petitioner Date Telephone Number Telephone Number (optional) Facsimile Number E-mail Address (FOR REGISTER'S USE) Safekeeping Wills Bond Set $ Custody Wills Deputy RW1136 Rev. 05/01/2013 American LegalNet, Inc. www.FormsWorkFlow.com 5/2013 3') ROWNET