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HomeMy WebLinkAbout0231 - _ . _ . - - _ _ . . . . . . t 1 • ~ ~ j~ T14EASURV pEPARTAIENT - IHTERNAL REVF~ SERVICE ~oaw 3049 NOTIP:~.ATION tJ?F ACCEPTANCE QF GROSS ESTATE TAX SiiOWN QN R~TURN tMrY »8~~ AND RE4UEST FOR CREDIT EYIDENCE E4TAYE OF OATE Oi DEATN e.' 1C0~ ~1"(; Ll i , ~'E?~1:^:11~',°` h:~ L;~t,U _ GR055 ES(ArE 7AX PfN RETURN ~-`T - -CAEDIT GLAIMS , _ ` ~ --------~-~~--J---~ s 21?.~': s Bi~~.%~!~ NAME AND ADORESS (S1wu~ rtuiubrr, stt~et, rity M town. postat zone, State) 0157RIC7 OFFICE ADDRESS ~'F~CC:1.`,~'S :I' c'(7~ 1~('1. ~ ~ ~ ;T'. :i~11'111n ~l'1~..1 {°id~~ •XcClit.OT' l~U') r~1r'~G1i+1(7VZ r :,'171(? ~ - t.o~ ~?r~••~~?.:i s, G~li~'ornaa `:~f~F, AUD~7 nJVlSION P ~ ~ox a~ao ~ . J JA;:KSUNYfLL~ 1, FLOR10~ 7~~1E' '~I'UFS r E''~?CC) cciC!? '(~l?( ~OC 1t1P (lYtOVt~'-f1~1S71P.:~ ~St'Itf_~ ~7S 5f1~)Y:f7 nfl lt~ fP~tiff~ 1S ~{"t~_'il^lfl~'~i <<: (:C ~'nCCf ~ ~f)'JJf•V~'C~ ere~it for SMte ini~eritnnce vr estate tax cl.~irne:3 in t11E' ~1fi1bU[lt 5;1~~~+'ll !2L(:':~~ '"lt!l~Ut •sii~`N~' 1+4t;!il til~' f:'~1~'~'r+L':'j dncur:Pnbuy evidence is suhmitted, aG rwquire~ hy secti~n 10.2011-1(•:)(.'j, ~:.t~:~te T' :X f~Q~jli~~l~l!JC1S. A cer~ific:~te r„ th~ ~roper aEficer ~t the ~,ix:na .;t~r!e, f~istrict of (;olu~n::i ot po~:,es ,ion c~f t},~ t_lnitad States should he sui~~.^.itte~i :'tj~_r.vinq: (1; tt~E totaf ~ir,~:~e3nt ~~f ::uch tnt impo~;Pd (h~f~,rn a::~i~nct intPre:;t ~inrj ~~~n~~irjPS nn:J t,~forh•~liov+- ir~q ~ii~cc,unt); (2) the ai~„>unt ~f =my ~iisco~s~~•: ~llowe~ri; (3) the amount r~f ariy panalties ~~rnl intere:;t iirpo::~~ ~~f C'l1UC~r.'~; (q) the tvt~l n~r:oun; ~r.tuuliy G:~.ii~i ;n r_nsi;; +7n~i the •.if~te ~~t p~syn<<~u~. I1 i~l~' 'ItTNilltlt ~~f such taxes has heen re,)etet- iuir.ed, the amount {incslly r3et~rmined sh~,ul:i he st~lNCi. Pleaso f~~rnish the n~essary evidencP pron;~~tty or ~~Jvis~ this nfti~•c= ~L~ t~ ~.ti•hen i! ~r;~y 't~~~ ex~~e~teri. ' VPry truly your.,, i1~.i.T'1C .l. U';l_i:l.i1:;011 District i?ire~t<:~, ~,{,~a-44~ ~/P . ~~17~T.~ !tl'r~it. ''i`'~.^';~.Ti DESCRIPTION bF OTMER EVIUEMCE HEEpED (~Jnpplicn6l~) FIl.EJ~ CO QED IN..._._1 ~ ~~~K . 'ss ~ . sEp Z z PM 3: 2~ , --'s`-:~; .`,,";~`:'r,••.., 138~~p _ ~,c~.~;.:~;ic~~'• 'a.~ ~ ROST ~u~j~na5, uIERK . : C!E COUNTY ; • ~~ORIDA ' ~ = -J: .~t a ~ ~ - - , • , . ~ ~ . . ~ ~ - ; ~ : ~ ~ . 1. u~~m~~Mwwt ni~nro ern~~ i~s~ e iMU~ f,)HM 30~ (S'fi) • ~i~; ~~~•~t:it ~oaK127 231 ~ ~ ~ _ ~ -