Form Inh 301 - Inheritance Tax Return - Tennessee Department Of Revenue - 1998
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18INH
TENNESSEE DEPARTMENT OF REVENUE
301
INHERITANCE TAX RETURN
AMENDED RETURN
____ ____ ____ - ____ ____ - ____ ____ ____ ____
COUNTY
DATE OF DEATH
DECEDENT'S SOCIAL SECURITY NUMBER
This return should be used for estates of
NAME OF DECEDENT ____________________________________________________
decedents whose date of death is on or after
January 1, 1990. This return is due nine (9)
ADDRESS (AT TIME OF DEATH) ___________________________________________
months after the date of the decedent's death,
unless an extension of time is granted by the
_______________________________________________________________________
Department.
CITY, STATE AND ZIP CODE ______________________________________________
Make your check payable to the Tennessee
Department of Revenue for the amount shown
on Line 10 and mail to:
Yes
No
Tennessee Department of Revenue
Andrew Jackson State Office Building
Election of Alternate Valuation
_________
_________
500 Deaderick Street
Nashville, Tennessee 37242
Election of Special Use Valuation
_________
_________
Gross Estate contains T.C.A. §67-8-304 (10) property
_________
_________
For assistance, you may call in-state toll free1-
800-342-1003 or (615) 741-2594.
Age of Decedent ________ Did decedent have a will?
Yes
No (If Yes, attach a copy to the return).
Personal Representative's Name (executor, etc.) ______________________________________________________________
Address (street, city, state, zip code) ________________________________________________________________________
Personal Representative's Name (executor, etc.) ______________________________________________________________
Address (street, city, state, zip code) ________________________________________________________________________
Preparer of Return _____________________________________________________________ Phone __________________
Address (street, city, state, zip code) ________________________________________________________________________
Attorney Representing Estate _____________________________________________________ Phone __________________
Address (street, city, state, zip code) ________________________________________________________________________
COMPUTATION OF TAX
Dollars
Cents
1. Inheritance Tax .....................................................................................................................
_________________________
2. Deduct: Applicable Credits ....................................................................................................
_________________________
3. Inheritance Tax Payable (Line 1 minus Line 2) .....................................................................
_________________________
4. Tennessee Estate Tax ..........................................................................................................
_________________________
5. Total taxes Due (Add Lines 3 and 4) .....................................................................................
_________________________
6. Deduct: Extension Payments ................................................................................................
_________________________
7. Balance of Tax Due (Line 5 minus Line 6) ............................................................................
_________________________
8. Penalty (5% for each 30-day period of delinquency not to exceed 25% of the tax due) .......
_________________________
9. Interest (
% per annum on any taxes unpaid by the due date) .................................
_________________________
10. Total Amount Due (Add Lines 7, 8, and 9) ............................................................................
_________________________
FOR OFFICE USE ONLY
Under the penalties of perjury, I declare that I have examined this report, and to the best of my knowledge and
belief, it is true, correct and complete.
Personal
Acct. # ____________________
Representative's
signature __________________________________________ Date ______________
Date Rec'd ________________
Preparer's
signature __________________________________________ Date ______________
Amt. Rec'd $ _______________
RV-R0001601
INTERNET (1-98)
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