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TENNESSEE DEPARTMENT OF REVENUE
 Schedule K                                                INHERITANCE TAX RETURN SCHEDULE
    INH                                                          DEBTS AND MORTGAGES
    301
 ESTATE OF                                                                                 DECEDENT'S SOCIAL SECURITY NUMBER




      Item
                                                                                                                                                        Amount
                                                                                                                         Nature of Claim
                                  Name of Creditor and Address with Description
     Number




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

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

3. Total (Add Lines 1 & 2, enter here and also on Page 3, Line 12-K) .............................................

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