HomeMy WebLinkAbout0065 FORM OR- ~02
, ' STATE OF FLORIDA
DEPARTMENT OF REVENUE
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ESTATE TAX BUREAU
TALLAHA55EE. FLORIDA 32304 249915
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J. EDSTRAUGHN NON-TAXABLE CERTIFICATE AND RECEIPT
EXEMrvE O~RECTOR FOR ESTATE TAX
TQ:Hans C. Halvorsen Spouse ~
c/o Mr. Lawrence M. Jennings ~ C S 9 5 6'l
Attorney at Law
2935 First Ave. North Suite 1
St. Petersburg, Florida 33713 Re: The Estate of Signe W. Halvorsen
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~~QRK •~~~j COUaT Resident of - pinellac
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+ County, Flnri~a
Mtit iy 9 01 ~ ~3 -
~ Date : - Januar~29-,19~73
249915 $5 . 00 Fee Received : sa~,o ~
THIS IS TO CEftTIFY, That in accordance with the provisions of Chapter 198,
Florida Statutes, there has been filed with this office a sworn report or return for Eatate
Taxes as required by law and on the basis thereof it has been ascertained the above estate
is not subject to the Florida Estate Tax. The issuance of this certificate, however, shall
not preclude the assessment and collection of Estate Taxes subsequently determined to be
due the State of Florida.
If proof of non iiability by the above estate for the Florida Estate Tax is required
by any person this Certificate may be exhibited as evidence of such non liability .
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Given in quadruplicate under my hand and the seal of the State of Ftorida the
date first above written.
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=t. ~ Executive Director }
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~~-i''=;'.~.~ -'''~}~•,-r.~' Department of Revenue
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Not valid without seal affixed .
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