HomeMy WebLinkAbout1888 ,
~~1 - , _
,
sp ~R~490
FORM OR-l02
STATE OF FLORIDA
DEPARTMENT OF REVENUE . ;V
ESTATE TAX 9UREAU • '
' TALLAHASSEE. FLORIDA 32304 `
~
. •
ws
J. ED STRAUGMN NON -TAXABLE CERTIFICATE AND RECEIPT
EiECUTWE 01AECTOA FpR ESTATE TAX
TO: Alma C. Usiak Spouse
c% Peninsular Title Insurance Co. A 1913 5 PP
P.O. Box 3719
Ft. Pierce, FL 33450 ~
Re : The Estate of
S. Rahn Usiak
LEO AMD REGQN t Fla. prop. in St. Luc ie
WciE COUMTi? ~l • • Deceased .
~ ROCER FOITRAf Courity
CLERK GI~tCUiT C011~ ~sident of Alle~~:
RE~OR~ YEtI~FIl~
~ t0 ~0 03 ~unty, Pennsv? vania _
~~90 patg ; May 13 , 1974
~ $5.00 Fee Received : April 26 1974
~ THIS IS TO CERTIFY, That in accordance with the provisions of Chapter 198,
E
Florida~ Statutes, there has been filed with this office a aworn report or return. for Estate
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 iseuance of this certificate, however, shall
not preclude the assesament and collection of Estate Taxea subsequently determined to be
d ue the State of Florida .
If proof of non liability by the sbove estate for the Florida Estate Tax ia required
by any person this Certificate may be exhibited as evidence of such non liability .
Given in quadruplicate under my hand and the $eal of the State of Florida the
date f rst above written .
t~~ " ? ~ ~ e~~
. \ - - . ~7
: ~
. „ -
. _ Execut~ve Director
- " ' - ~ Department of R.evenue
a .
.
, ~
- : ,s•-
Not valid without seal affixed .
er~i PAC~~
- d~ .
- ic- ~ q: a +s~ k ~ ` .i* -'.r . : _ . . " ' _ . _ _ . ' _ _
a+~i;~...~~ s.;.~ .
_ ~ r