Form Ih-9 - Order Determining Inheritance Tax Due For Indiana Resident - 2005
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1Prescribed by the Indiana Department of State Revenue
Form IH-9
Not for Public
Access*
State Form 48854
(R / 2-05)
STATE OF INDIANA
)
IN THE
COURT
)
SS:
OF
COUNTY
COUNTY OF
)
DIV. OR ROOM NO.
CAUSE NO.
In the Matter of the Estate of
)
)
SOCIAL SECURITY NO. ____________________
)
)
ORDER DETERMINING INHERITANCE TAX DUE FOR INDIANA RESIDENT
This matter having come before this court on this day, and the court having heard the evidence and being duly advised in the premises, now
finds that:
1.
The decedent died a resident of this county on the
day of
, 20
.
2.
The inheritance tax return was previously filed with this court and referred to the county assessor, or a petition for a no tax determination was
previously filed.
3.
The Appraiser’s Report, if any, was duly filed and notice, unless waived, was given pursuant to IC 6-4.1-5-9.
4.
The fair market value on the decedent’s date of death of the property interest subject to the inheritance tax is as follows:
Total Gross FMV of Estate
$
Total Value of Allowable Deductions
$
Total Net FMV of Estate
$
5.
The amount of inheritance tax due, determined as indicated, is:
NAME
RELATIONSHIP VALUE OF INTEREST
EXEMPTION
TAX RATE
AMOUNT OF TAX
TOTAL TAX $
6. The interest rate on any delinquent inheritance tax due is ten percent (10%) per annum from the date of death until paid pursuant to Ind. Code
§6-4.1-9-1.
7. The total penalty for late filing of the inheritance tax return is fifty cents ($.50) per day for each day the return is delinquent up to a maximum of
fifty dollars ($50) pursuant to Ind. Code
§§6-4.1-4-1 and 6.
8. The description of all Indiana real property owned by the decedent at the time of death is attached hereto as Exhibit A and made a part hereof
as if included herein.
WHEREFORE, IT IS ORDERED That the above named beneficiaries of this estate and/or their legal representative pay the amounts as above set forth.
All of which is ordered this
day of
, 20
.
Judge
* Once completed, this form is confidential pursuant to Ind. Code §6-4.1-12-12. To comply with Administrative Rule 9 and
Trial Rule 5(G) this form is marked “Not for Public Access” and is required to be filed on light green paper if it is filed for an
otherwise public estate.
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