TENNESSEE DEPARTMENT OF REVENUE
Schedule B INHERITANCE TAX RETURN SCHEDULE
INH                             STOCKS AND BONDS
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).
Item       Description (including face amount of bonds Unit  Accrued Interest                                                    Alternate Value at
Number     or number of shares)                        Value & Dividends                                                         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 2-B) ..........................
                                                                                                                                           INTERNET (1-98)
RV-F1400201