HomeMy WebLinkAbout06985~1~41
Form OR306
Rev. 1 !$0
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Randy Miller
Exxut~v~ Oirettot
STATE OF FLORIDA
OEPARTMENT OF REVENUE
TALLANASSEE, FLORIDA 32301
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FOR ESTATE TAX
T~~ F.thel M, lJasco, Spause
9526 lJimer
:ndependence, ~f0 64034
Re. The Estate of
Deceased.
CC No. A 14 4~
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~+'i ] 1 i am l•~asco
Resident of _i~~,ns~~ County
State of Kansas
Oate: 1-30-81
$5.00 Fee Received: Same
THIS IS TO CERTIFY,Thatin acco~dancewith the provisio~s of Chapter 198, Florida Statutes,
there has been filed with this office a sworn report or return for Estate Taxes as required by law and
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:.~• ~+*~. +n+~~S i+~c~cv~ ~. ~~~ .,~~~ a~.a~:ai~~~, c~~r auuve ~siaie is noi woject to me ria~icia tstate f ax. i he
issuance of this certificate, however shall not preclude the assessment and collection of Estate Taxes
subsequently determined 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 Certificate may be exhibited as evidence of such non liability.
~;- ~Given in quadruplicate under my hand and seal of the State of Florida the date first above
writ~ei~.
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Exacutive Dir~ttor
O~partm~nt af R~v~nw
Not valid without seal affixed.
1 HEREBY CERTIFY that tfie above is a true end correct copy as it appears from the records
of this office.
this
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tN WITNESS WHEREOF, I have hereunto set my hand and the seal of the State of Florida
19~th ~y o~ ~March A.D. 1~_.
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