HomeMy WebLinkAbout0949 - - - -
. . _ _ . . . . - _ ' ' _ .R
. ~~w , [=~CYtI
~WM~uC7'OA
s°
y~~ ~~,E~~~ FINAL CERTiFiCATE
FOR INHERITANCE AND ESTATE TAX
1 ~ 'y 4
J 3 / ~
~ STATE OF .FLORIDA
~ TALLAHASSEE
. -
.
~ . l`~ ~ 1~LQ E T
- - -
_ - - - - ~ - - ~ .
-
To . _ _ . ..4:. .:i: ; . . . Re. The Esta~e of , . ~ . ~ i _ .
Deceased. _ .
' • -
Resideat of ~ ' i ' - -
_ - . • County _?c-
~
Date: ~ - '
_ Date of death: " `
_ _ . . - : -
THIS IS TO CERTIFY, Tl?at in accasdance witli the provisions of (:hapter 198. FloridA
~tatutes, there liae been filed witli this office a sworn return for Estate 'raxes as required by law
i in t6e abo~ e named Estate and d~at Uie amount of tax assessed by the State of Florida against snid
estate was
( noll~ (a ' .
It is further certified that the feslldwing payments ha~ been made in full settlement of the
estate tax assessed against said estate:
. ~
. . : _ _ L , -
_ . • - p~ ~A~ yEkiF1E6 ~ \ = ' ~ : • -
_ , - -
, • . + < } ` .
t ~ ~ ~ ~ _ _ =
; - _
and that nu refund of such tax nor any poM;3n tl~ereof has been authoriaed and that na claim
for refund thereaf is pending.
Gi~~n - ie q~ia~druplicate under my I~and and aeal of tlie State of Florida tlie date first above
~vrittea.. " ' " -
~ _ _ _ . . . l~
. . . - ~
- - ; - _
- ' - ~ ~ ~ - Ezecuti~ e Director -
. .
• ' . . ~ Depariment of Revenue
~ j} ~
Not ~•alid witl~out beal affixed.
~ 3 ! - - c'
- _ _
-
- - _ '