HomeMy WebLinkAbout0638 ~ORM OR • ~pI y /
~ / STATE OF FLORI~A
DEPARTMENT OF REVENUE ~
ESTATE TAX BUREAU ~~~N~c fRCU1T COt}RT
ST 4 pr ` :`RtF1E0....,-.---
~ . ~ TALLAHASSEE. FIORIDA 32304 ~
3~8308 6 i i~ e~ 1~
~ "i"
- 368308
Eo sT~?~c~N NONTAXABl.E CERTIFICATE AND RECEIPT
[x[pITIK OIR[CTOA
FOR ESTATE ~ TAX
TO: John w. Worsoe, Per. Rep.
c/o Joseph C. ~enovese, Atty. ~ 8 5 8 4 0
P.O. Box ~ 837
Boca Raton, Fla. 33432
Re: The Estate of Elsie M. Worsoe
~ o
o v UeceaBCd.
~
~ OJ~,~j A
~ Resident of Palm Beaeh
nc _
~ a~~ri .,s o ~
~ W ~ 4J Couacy, Florida
~ _
tj C3 }
~ Date• 4-29-77
W N ~ s~C y `
li. ~ ~
i ~ ~ ~ :S.OO C'CC RCCCIVCII:
~ THI3 I3 TO CERTIFY, T t in sccordsnce ~rith the provisions of Chapter 198,
~ Florida 3tatutes, there has been filed with this office a aw?orn report or return for Estate
~ Taxea ss required by law and on the bssis thereof it hae been aecertained the above e~tate
i
ia ~ot subject to the Florida Estate Tax. The iseuance of this certificate, however, shsll
not preclude the sssessment and collection of Estate Taxes subsequently determined to be
due the Stste of Florida.
If proof of non lisbility by the sbove estate for the Florida Estate Tax ia required
by any person this Certificate may be exhibited ae evidence of such non liability.
Given in ~~adruplicate under my hand and the seal of the State of Florida the
date first sbove written.
r~ ~ ! ~
~ - . ~~ol ~4
~ ,
~ . Execnt~ve Director '
~ ~ Depsrtment of Revenue
.
l~
. ~f ~ ~ta`~
. F. •j, j'-...~
Not ~s1id ~withont aeal ~ifixed .
EOOK ~+Uc`7 PACE gpp~c (,E 141
.
. ,
_ . < _ . ,
s -