"Claim Against Estate of Decedent |
The below-named creditor certifies that there is due and owing by _____, deceased, in accordance with the statement of account attached as a part of this statement, the sum of ____, together with interest at the rate of ____ from ____ until paid, and that the account is correct as stated and is unpaid. |
On behalf of the below named creditor, I do solemnly declare and affirm under the penalties of perjury that the information and representations made in the claim and the account are true and correct according to my knowledge, information, and belief. | |
_________________________________ | _________________________________ |
(Name of creditor) | (Signature of creditor or person authorized to make verification on behalf of creditor)" |
Md. Code, ET § 8-104