IH-6
Not for Public
Access*
SF # 48835
Indiana Inheritance Tax Return
2-05
1 Decedent’s first name and middle initial
2 Decedent’s last name
3 Decedent’s Social Security Number
4 Resident county at date of death
5 Date of death
6 Name of court
7 Court case number
8 Name of person filing return
9 Address
10 If decedent died intestate, check here
11 If decedent had a safe deposit box, check here
If decedent died testate attach a copy of the will
and state location
12 A Federal Estate Tax Return 706 is
is not
required. If 706 is filed, copy must be furnished.
SUMMARY
Schedule
Value at Date of Death
A
Real Estate ....................................................................................................... $
B
Cash, Deposits, Mortgages, Notes, Stocks and Bonds, Life
Insurance Payable to Estate ............................................................................ $
C
Other Miscellaneous Property Transferred by Will or Intestate Law ................... $
D
Annuities, Pensions, Retirement Plans and Other Death Benefits ..................... $
E
Transfers Other Than by Will or Intestate Law ................................................... $
Gross Estate ........................................................................................................... $
F
Deductions ....................................................................................................... $
Taxable Estate ...................................................................................................... $
Inheritance Tax Due ............................................................................................. $
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules, statements, and instruments, and to the
best of my knowledge and belief, it is true, correct and complete.
Signature of person filing return
Date
Name of lawyer
Address
Telephone Number
* Once completed, this form is confidential pursuant to IC 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.