HomeMy WebLinkAbout0156 y
A
~ . - .
. ,
. 1 .
2
•
f.
. . . . _ _ . . . . . . . . .
iORM OR-~ 7 ~ / ~
STATE 4f°' FLORIDA #
- DEPARTMENT OF REVENUE
>
- - ~ ..~',sTl~'~'E 'T!!~4 ~~li~
TAI.LIRH/15SEE. FLORIDA 32304 ~~~s ;
~
P . ;
. .
~ ` y ` ~ - _ _ -s-- - -
• J. tb frtMUMIN ~~I~1~ ~
titqlTlK M~CTOR '
FOR ESTATE fi~?X ~
T~: Bsrt~~ sarrison, spowe p 8 9 5 5 0
Gf€~ ~Q~'~~ Ti~t!?II~ p:~= _ -
P.O. Bos 526 -
Jenaen Beach, lrla. 3345T Re: ~
~illiam C. Harri~on ~
Dec~eased.
~ Resid~at ot ~n~~erY
,
~
Couuh,, Ohio ~ ~
p~t,~: ' 6=13-77
.
i
=5.00 Fee Reoeived: ~
THIS ~S TO CERTIRY, That in ueordsnce with tbe provisions of Chspter 198, ~
Fiorida 3tatntea, there hss been filed witb this office s sworn report or return for Estste
Ts:es sa required b~ Isw and on the bssis thereof it hss b~n aecertsined the above eatste
is not sabjeet to the Florids Estste Taa . The is~ance of this eertificate, however, shalt =
not p~elnde the assessment and eotleetion of Estate Tsaea snbsequently determined to be
due the State of Floc~ds.
~ If proof oi non lisbility by the abo~e estste for the Florida .Estate Tsx is required ~
by snr person thia C.~rtifieste may be eshibited ss evidence of sueh non liability.
Given ia qaadrnplicste under a~y hsnd snd the sesl of the 3tate of Ftorids the
date fint sbo~e written.
-
. ' ~ . . ~ o~ 7w?
` ~ ~ ~
C ~~J~' . . ~ ,
~ z ,
; T'.Zl~Yt ~ilCtOt
'rn,F . ~ , i f , . . i
~~~y1q-~- 4 . ~ ..~,s f ~f YY ^ r Dep~art~ent ot ~?enne
y~+ 4 ~ ~ .
3.~`~~~ - _ '
` !'T j a~~'~~l~„~ a~`
. ' 1 .C~ Ss"~`~ ~'lY s ~ - ~
. ~'f` . - 4~.iR~ V; ~ ~
~ ~.F~-~~yfR~EO T
~ =U t . -
. . - ; ~1~ 92aAM ~
. o ~,~n 'tT
Nat ~at~a w~ti~edt ksl affize~ . ~ ~c ~~U ri~ICE 1er'~ -
3'7~00~85 t
_
~