Introduction

I, [YOUR NAME], of legal age, being first duly sworn on oath, hereby depose and state as follows:

Statement of Facts

1. I am the [RELATIONSHIP TO DECEASED], of [DECEASED'S NAME], who passed away on [DATE OF DEATH], in [COUNTY], Maryland, without leaving a will.

2. To the best of my knowledge and belief, the deceased person was a resident of Maryland at the time of their death.

3. The deceased person was survived by the following heirs, as listed below, who are entitled to the personal property of the deceased:

   • [HEIR NAME], [RELATIONSHIP TO DECEASED]

   • [HEIR NAME], [RELATIONSHIP TO DECEASED]

   • [HEIR NAME], [RELATIONSHIP TO DECEASED]

4. Attached hereto and made a part hereof as Exhibit A is a list of the personal property of the deceased person, including but not limited to [LIST OF PERSONAL PROPERTY], and the estimated value of each item.

Sworn Oath

I do solemnly swear or affirm under the penalties of perjury that the foregoing is true and correct to the best of my knowledge, information, and belief.

[YOUR NAME]

Date: [DATE SIGNED]

Notary Acknowledgement

State of Maryland

County of [COUNTY]

On this [DATE], before me, a Notary Public in and for said county and state, personally appeared [YOUR NAME], known to me to be the person whose name is subscribed to the foregoing instrument, and acknowledged that they executed the same for the purposes therein contained.

Witness my hand and official seal.

[NOTARY PUBLIC OFFICIAL SEAL]

Notary Public

My commission expires: [EXPIRATION DATE]

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