TENNESSEE DEPARTMENT OF REVENUE
Schedule A  INHERITANCE TAX RETURN SCHEDULE
INH                     REAL ESTATE
301
ESTATE OF               DECEDENT'S SOCIAL SECURITY NUMBER

(For jointly owned property that must be disclosed on Schedule E, see the instructions for Schedule E).
(Real Estate that is part of a sole proprietorship should be shown on Schedule F).
Item                    Accrued Rents                                                                                       Value at
Number      Description or Income                                                                           Alternate Value Date of Death

1. Total ...................................................................................................

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

3. Total (Add Lines 1 & 2, enter here and also on Page 3, Line 1-A) .....

RV-F1400101                                                                                                                 INTERNET (1-98)

                                WORKSHEET
               PROPERTY VALUED FOR SPECIAL USE
ITEM      SPECIFIC DESCRIPTION AND USE OF THE QUALIFIED REAL PROPERTY, SCHEDULE CALCULATION OF SPECIAL
NO.            AND ITEM NUMBER OF LOCATION WITHIN THIS RETURN                   USE VALUE

                                SUMMARY

ITEM      FAIR MARKET VALUATION AMOUNT OF DECREASE                              SPECIAL USE VALUATION
NO.

          TOTAL

Estate of:

                                                                                INTERNET (1-98)