HomeMy WebLinkAbout0362 . ~
~ ~ ~
" ~
,
~
md ~
FORM pR•~OZ
STATE OF FLORIDA /~n~~
OEPARTMENT OF REVENUE v~v .
' ESTATE TAX BUREAU - ~
~ ~ TALLAHASSEE. FLORIOA 32304
~
M
• .
+~O ML .
Eo sM~~~ NONTAXABLE CERTIFICATE AND RECEIPT -
°""`T°" FOR ESTATE TAX
TO: Laurel B. Zieqler , Cor-Exec.
D 18133
C/O Mr. Addison H. 1'homson, Atty. . !
617 NE 125th St. ~
No. Miami, FL 33161 ~
~ ti-- Rei Tlie Estate of ..i,:~» u_ n,-....r,
~ ~ ~ =
~
-
c=: i- ~ o t: Deceased. ~
~ c ~r -
c : r
~ ~ ~ ~ = r Resident of r~ac~e
o.. ' : ~
_ _ _ _
' ~ = j County, Flc~rirla
l I_ ~ ' f
" o = ' ;
~ ~ Date: Sentember l0. I974
~ : u~1 ~ ¦
- v~ ~ v $5.00 Fee Received:
~
r---
«
THIS IS TO CE~tTIFY, That in accordance with the provisiona of Chapter 198,
Florida $tatutes, there has been filed with this office a aworn report or return for r.state
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.
s
~ If proof of non liability by the above estate for the Florida Estate Tax is required
f .
~ by any person this Certificate 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 ~rst above written.
~ ' .
$ ~ r •y
' - , ~
t -
` .r~ ,
~ Executive Director ~ ~ ' ~ . ~
`
; • ~ ,
~ Departme = '
~
~ _ R~COR~E . :.r~
~ . s'
-
t ' j~;/~ ~ '
~ $~P 1 ~ ~
~ ' .
~ Not valid without 9eal affixed . 1 ;
~ - - -
~
~
~
~ ~
Y ~ 2~3 ~
~
~ -r ~ 1!'-! ~ ~i !
4'
S~ .c_ - w_i ~ l ~
",.°.23v ~ _ _ ~.!'c . _ . _ :"i a. .'.5 r?'"C+~ ~