Form Ih-12 - Indiana Inheritance Tax Return For A Non-Resident Decedent Page 5

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ScheDule c
tRanSfeRS DuRIng DeceDent’S lIfe
Did the decedent, at any time during his or her life, make any transfers in con-
templation of death? See Ind. Code § 6-4.1-2-4.
YeS
no
Did the decedent, within one (1) year immediately preceding his or her death,
make any transfers of property for less than an adequate and full consideration
in money or money’s worth?
YeS
no
Did the decedent, at any time during his or her life, make a transfer of property
for less than an adequate and full consideration in money or money’s worth in
which he or she retained a life estate, the right to income or some other interest?
YeS
no
At the time of decedent’s death, were there any trusts in existence, created by
the decedent or others, in which the decedent held an interest? If yes, attach copy of
the trust(s)?
YeS
no
note: If any transfers made within one (1) year immediately preceding the decedent’s death for less than an adequate
and full consideration are claimed not to have been made in contemplation of death, submit enough proof to overcome
the presumption outlined by Ind. Code § 6-4.1-2-4.
If any of the above are answered “YeS” describe below.
Date of transfer,
fair Market Value
Description of Property transferred
at Date of Death
and Means of transfer
less consideration
Received
total ScheDule c

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