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TENNESSEE DEPARTMENT OF REVENUE
 Schedule D                                              INHERITANCE TAX RETURN SCHEDULE
    INH                                                    INSURANCE ON DECEDENT'S LIFE
    301
 ESTATE OF                                                                                DECEDENT'S SOCIAL SECURITY NUMBER



Was there any insurance on the decedent's life which is not included as a part of the gross estate? Yes                                                     No
If yes, full details must be submitted on this schedule.
      Item                                                                                                                                             Value at
                                                                             Description
     Number                                                                                                                                          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 4-D) ..........................................

                                                                                                                                                         INTERNET (1-98)
RV-F1400401

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Schedule D - Insurance on Decedent's Life

  • 1. TENNESSEE DEPARTMENT OF REVENUE Schedule D INHERITANCE TAX RETURN SCHEDULE INH INSURANCE ON DECEDENT'S LIFE 301 ESTATE OF DECEDENT'S SOCIAL SECURITY NUMBER Was there any insurance on the decedent's life which is not included as a part of the gross estate? Yes No If yes, full details must be submitted on this schedule. Item Value at Description Number 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 4-D) .......................................... INTERNET (1-98) RV-F1400401