BEFORE THE REGISTER OF WILLS FOR
ESTATE OF:
ESTATE NO.
Date of Death:
Date of Appointment of
Personal Representative:
, MARYLAND
FINAL REPORT UNDER MODIFIED ADMINISTRATION
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 and that any property valued by me which I have authority as personal
representative to appraise has been valued completely and correctly in accordance with law.
Address
Telephone Number
(Must be filed within 10 months after the date of appointment)
I, Personal Representative of the estate, report the following:
1. The estate continues to qualify for Modified Administration as set forth in the Election for Modified Administration on file
with the Register of Wills.
2. Attached are the following Schedules and supporting attachments:
Total Schedule A: Reportable Property
Total Schedule B: Payments and Disbursements
Total Schedule C: Distributions of Net Reportable Property
3. I acknowledge that:
(a) Final distributions shall be made within 12 months after the date of my appointment as personal representative,
unless I discover property of the decedent after the time for making final distributions in which case I must make final
distribution of the after-discovered property within 90 days of the discovery of the property.
(b) If Modified Administration is revoked, the estate shall proceed under Administrative Probate, and I will file a formal
Inventory and Account, as required, until the estate is closed.
Date
Date
RW1143 - Page 1 of 4 (RW 1144 must be included with this form)
Rev. 01/01/2016
)
$
$(
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Attorney
Personal Representative
Personal Representative
Personal Representative
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Facsimile Number
Address
Email Address
Date
FINAL REPORT UNDER MODIFIED ADMINISTRATION
SUPPORTING SCHEDULE A
Reportable Property
ESTATE NO.
ESTATE OF:
Item No. Description Basis of Valuation Value
1. Real and leasehold property: Fair market value must be established by a qualified appraiser. For decedents dying on
or after January 1, 1998, in lieu of a formal appraisal, real and leasehold property may be valued at the full cash value
for property tax assessment purposes as of the most recent date of finality. This does not apply to property tax
assessment purposes on the basis of its use value.
2. The personal representative may value: Debts owed to the decedent, including bonds and notes; bank accounts,
building, savings and loan association shares, money and corporate stocks listed on a national or regional exchange
or over the counter securities.
3. All other interests in tangible or intangible property: Fair market value must be established by a qualified appraiser.
ALL REAL AND PERSONAL PROPERTY MUST BE INCLUDED AT DATE OF DEATH VALUE. THIS DOES NOT
INCLUDE INCOME EARNED DURING ADMINISTRATION OR CAPITAL GAINS OR LOSSES REALIZED FROM THE
SALE OF PROPERTY DURING ADMINISTRATION. ATTACHED APPRAISALS OR COPY OF REAL PROPERTY
ASSESSMENTS AS REQUIRED.
INSTRUCTIONS
TOTAL REPORTABLE PROPERTY OF THE DECEDENT
(CARRY FORWARD TO SCHEDULE C)
ATTACH ADDITIONAL SCHEDULES AS NEEDED
RW1143 - Page 2 of 4
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FINAL REPORT UNDER MODIFIED ADMINISTRATION
SUPPORTING SCHEDULE B
Payments and Disbursements
ESTATE NO.
ESTATE OF:
Item No. Description Amount Paid
TOTAL DISBURSEMENTS:
(CARRY FORWARD TO SCHEDULE C)
INSTRUCTIONS
1. Itemize all liens against property of the estate including mortgage balances.
2. Itemize sums paid (or to be paid) within twelve months from the date of appointment for: debts of the decedent,
taxes due by the decedent, funeral expenses of the decedent, family allowance, personal representative and attorney
compensation, probate fee and other administration expenses of the estate.
ATTACH ADDITIONAL SCHEDULES AS NEEDED
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FINAL REPORT UNDER MODIFIED ADMINISTRATION
SUPPORTING SCHEDULE C
Distributions of Net Reportable Property
ESTATE NO.
ESTATE OF:
1. SUMMARY OF REPORTABLE PROPERTY
TOTAL FROM SCHEDULE A
TOTAL FROM SCHEDULE B
TOTAL NET REPORTABLE PROPERTY (SCHEDULE A MINUS SCHEDULE B)
2. SPECIFIC BEQUESTS (If Applicable)
Name of Legatee or Heir Distributable Share of Reportable Estate Inheritance Tax Thereon
3. DISTRIBUTION OF BALANCE OF ESTATE
Name of Legatee or Heir Distributable Share of Reportable Estate Inheritance Tax Thereon
ATTACH ADDITIONAL SCHEDULES AS NEEDED
Total Reportable Distributions:
RW1143 - Page 4 of 4
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Inheritance Tax
CERTIFICATE OF SERVICE OF
FINAL REPORT UNDER MODIFIED ADMINISTRATION
ESTATE NO.
IN THE ESTATE OF:
prepaid, a copyI hereby certify that on this day of , , I delivered or mailed, postage
of the foregoing Final Report Under Modified Administration and attached Schedules to the following persons:
AddressesNames
Personal RepresentativeAddress
Personal RepresentativeAddress
Attorney Personal Representative
Telephone Number
Facsimile Number
Email Address
Tax Thereon
Probate Fee & Costs Collected
Identity of the Recipient
Identity of the Recipient
Identity of the Recipient
Exempt distributions to
Exempt distributions to
Exempt distributions to
Distributions subject to tax at %
Total Inheritance Tax paid
Gross estate
Total Inheritance Tax due
FOR REGISTER OF WILLS USE
RW1144 (must be filed with RW1143)
Rev. 01/01/2016
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