TENNESSEE DEPARTMENT OF REVENUE
Schedule O
                                   INHERITANCE TAX RETURN SCHEDULE
   INH
            BEQUESTS:  PUBLIC, CHARITABLE, RELIGIOUS,
   301                                    AND EDUCATIONAL
ESTATE OF                                 DECEDENT'S SOCIAL SECURITY NUMBER

1. If the transfer was made by will, has any action been instituted to have interpreted or to contest the will or any
   provisions thereof affecting the charitable deductions claimed in the schedule? Yes                                                                 No

2. According to the information and belief of the person or persons or persons filing the return, is any such action
   designed or contemplated?   Yes      No
   If yes, full details must be submitted under this schedule.

3. Did any property pass to charity as the result of a qualified disclaimer or settlement?    Yes           No
   If yes, attach a copy of the written disclaimer or settlement contract.

   Item No. Explanation of Items Claimed                                                                                                                 Amount

4. Total ..........................................................................................................................................

5. Total (From any attached sheets)..............................................................................................

6. Total (Add Lines 4 & 5, enter here) ...........................................................................................

7. Less: Federal estate tax payable out of above listed interests ..................................................

8. Less: Other death taxes payable out of above listed interests ..................................................

9. Net value of above listed interests (Subtract Lines 7 & 8 from Line 6, enter here and also on
   Page 3, Line 14-0) .....................................................................................................................

RV-F1401301                                                                                                                                              INTERNET (1-98)