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Claim Against Decedents Estate RW 1128 - Maryland

Claim Against Decedents Estate Form. This is a Maryland form and can be used in Register Of Wills Orphans Court Statewide .
 Fillable pdf Last Modified 10/15/2010
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In the Estate of: Estate No. Date CLAIM AGAINST DECEDENTS ESTATECLAIM AGAINST DECEDENTS ESTATE The claimant certifies that there is due and owing by the decedent in ac cordance with the attached statement of account or other basis for the claim the sum of $ . I solemnly affirm under the penalties of perjury that the contents of th e foregoing claim are true to the best of my knowledge, information, and belief. Name of Claimant Signature of claimant or person authorized to make verifications on behalf of claimant Name and Title of Person Signing Claim Address Telephone NumberFILED : RECORDED : Claims Docket Liber Folio Instructions: 1. This form may be filed with the Register of Wills upon payment of th e filing fee provided by law. A copy must also be sent to the personal representative by the claimant. 2. If a claim is not yet due, indicate the date when it will become due . If a claim is contingent, indicate the nature of the contingency. If a claim is secured, describe the secu rity. RW 1128 2003 PDF
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