BEFORE THE REGISTER OF WILLS FOR In the matter of: Estate/File No. , MARYLAND , Deceased APPLICATION TO FIX INHERITANCE TAX ON NON-PROBATE ASSETS The applicant represents that: 1. The decedent, a resident of 2. The non-probate property subject to the inheritance tax in which the decedent and the recipient had interests, the nature of each interest (such as joint tenant, life tenant, remainderman of life estate, trustee, beneficiary, transferee), and the market value of the property at the date of death are: PROPERTY NATURE OF INTERESTS DATE AND TYPE OF INSTRUMENT MARKET VALUE (County) , died on (Date) . 3. The name and address of the recipient of the property and the relationship to the decedent are: 4. Any liens, encumbrances, or expenses payable from the above property and their amounts are: 5. Attached is a statement of the basis for valuation or, if required by law, an appraisal. 6. All other information necessary to fix inheritance tax is as follows: tax is payable from residuary estate pursuant to decedent's will; Other (describe): The applicant requests the Register of Wills to fix the amount of inheritance tax due. 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. Applicant Address Date Telephone Number Facsimile Number Email Address (FOR APPLICANT'S USE - OPTIONAL) Value of Property as above Less: Liens, encumbrances and expenses as above Amount Taxable Direct Inheritance Tax due at % Collateral Inheritance Tax due at % Total Tax due $ $ $ $ $ $ RW1125 Rev. 01/01/2016 American LegalNet, Inc. www.FormsWorkFlow.com ROWNET PDF