HomeMy WebLinkAbout0499 ~ . . _ . . . . ..-4:~d~sa..zr.> -r...-. a_.. . . ,
iORM pR. ~J . ~ M ,
~ STATE OF FLORIDA . ;
DEPARTMENT OF REVENUE -
:
~j"fsl,'E ' ESTATE TAX BUREAU ~
W"! y/F ga TALLAHASSEE, FLORIDA 323C4 3385~~~ ~
s v
u - ~ i
~A
~ ~
" '~4a • , • . . . . , ~
~we . _ .
Eo STR~~~HN NONTAXABLE CERTiFICATE AND RECEIPT
EXENTIYE DIRECTOR
FOR ESTATE TAX
TO: ~~al~ Henderson, S~cuse D 6 2 9 8 4 ~
LIt~ LrJTY~,` F+ FlI1~CE~ ~ Rtt'~~S .
8~I E. Hallandaie Leach Blyci. ~ '
:iallan<:ale, ~'L :~3~~9
Kc: '!'hc I~:.tatc of ,~~~rie ^loria a/kla
~ ~~s_ori~ z . ~;Pr.c':~r~~:n
Deccascd.
HE`:II~C?l~ O~ ai-6'sT~~~ '
Cc~uuty. F"lor~_~ a ,
Date: June 1~, 1~??6
S5.(10 Fee I~ec.ei~•ed:
~
; THIS IS TO CFRTIFY, That in accordance with the provisions of Chapter 198,
~
; Florida Statutes, there has been filed with this office a sworn report or return for Estate
j 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 F.state Taxes subsequently cletermined to be .
~
~ due the State of Florida.
~ If proof of non liability by the above estate for the Florida Estate .Tax is required
~ by any person this Certifeate 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 first above written.
~
~
~ •
- . ~ ~Z o~ 7~~,,.J
• ~ '`'`'`9
F c~
s •
~ Executive Director - -
; ~ ~ ~ ~ Department of Revenue
~
4 I _ «
~ ~ ~ , ~ 6s~~M~1~~E~1:
~ ~ ~~.,c'' • :i1~RA5 'V"
~ ` BLf~R + i i;J:~ ~CUdj
~
~ a.~ ._t RFrOF`~y[?iE(Fi.w.,~,w„~,,,
~ 3~ 'x~ 1 - -
~ - ~ ~i ~0 ~ s~ AM'76
~ Not valid without seai affixed . ;
~ 338549 ~
~ ~ ~ 4
_s FAGE ~ ~
~
4.~ _ .