HomeMy WebLinkAbout0967 i
286U38 . ~
; . . .
-
.~.t : .
iORM OR- 70t • .
~y~ • ' STATE OF FLORIDA '
~ ~EPARTMENT OF REVENUE
ESTATE TAX BUREAU
- ~ T LLAHASSEE. FLORIDA 32304
! ' -
~
.
~ .
' aa. va
J EOSTRAUGMN NO -TAXABLE CERTIFICATE AND RECEIPT
FOR ESTATE TAX
TO: ,.~r' F-:r.x ~'`.~."'~r_. D 03~79
. ^1ar.=.: u~~~~~r• '?ea~~~•, T^~.
1'=
r~, T-t p~,,r^~ z~I "s ~ a~ 4 Re: Tl~e Fstate uf T~:c,^ ~ Q
Deceased.
Resident of `'t . L i ~
Co«nty, F 1 ~r i~~ ~
Uaic: ~e~;r:.ar.. i n-
SS.OU I~ ee Recei~~ed.
THIS IS; TO CERTIFY, That in accordance with the proviaions of Chapter 198,
Florida Statu~e~, there has been filed with this office a sworn 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 issuance of this certificate, however, shall
not preclude the assesament and collection of Estate Taxes s~bsequently determined to be
due the State of Florida. ~ f
~
i If proof of non liability by the above estate for the Florida Estate Tax is r~quired
~ by any person this C~rtificate may be exhibited as evidence of such non liability . -
~
Given in quadruplicate under my=hand and the seal of the State of Florida the
date f r~t above written . ~
~ .
, • f r ~
, ' ~
, t,, ~ 'i j• ~ 1 ~
, %
{ " t -
. Executive Director
' ~ ' ~ _ Department of Revenue
- .
~
: r~ -
` ~ FILE'J '.y=.~~'"7Y fl~.
~ ° ST ~u~;~ ,,.,,?ta~.5
~ - ac''L ":iii ~ouaT
~ . . _ CL r• "f': ,
~ t~E~~sFv
~
Not valid without seal affiaed . ~j ~ ~ 40 aN
D R ~ : ~a7V ~
~ ~ ~
~ _ , _ _ , - - - ~ - m~.~~-_
_ _ -
.
~ 1~'r `p '
, ~ ~ .
°'~.K.~ ~i . ~