Loading...
HomeMy WebLinkAbout0028 ~j j F ~'3.~p~ . . Itt ~Jlt ~ J1JD~5' 8 COVft'~ TN ~ - I~IA ~IR ~O~i~ C~'1'~'~ ~'~~1RYAA ' I~r' ~~Ai`~ 3~. 3~2!? ' ~~a: ~s°r,~~. an~ - ~ r'~- ~ RETURN t0 p s~I~.~t p. ~t~t~~txt, ~ )AMES`~ iI~l1S h . J 1~T. lJIUD RQq~~ F~36 D~QiaMd. ~ - 33302 , . I~O~li~`TA'XASLE LER~II~ICA'1'E w?ItD It~.`EIFT - ~ _ ~ . . ` ~OR ~~B T~tX - _ . , - _ _ . . - ~ - - - : . . _ - FORR! UR-302 . _ : - ' STElTE OF' FLORIDA _ DEPARTMERT UF RF_liEf~l,~E - - °f~~ S~`'~~' . ~ ~STATE TAX BUREAU ~1 " - ~ ~ ~ TALLA~iASSEE, FLORIDA 32304 ~ . _ - . ~ ..,d . ' - • ' - - , - : u~ ~ . - ~O ML r" - ' _ ~ . . J. EDSTRAUGHN NOI~!-T~hXABLE CERTlFIG~4TE AND RECEIPT - E7ICCUTIVE DIRECTOR ' ' . - . . FO~ ESTAT~ TAX . ~ ~ 10• .(':J. ~ :tl:i~_.~ ~1~~<•t: ;{..1__!.~ :{::C~~ ~ _ - ' - _ . . ~ ~ ~ _ - _ : ~ - _ . C?8813 ~ _T:~. 1~~_-, ciF<::~:i .~~~-:ic~:~ ~ - - ~ . i r - . ° ' : ~ " i'~.. c_ c ~ _ ; . ~ ~ ~ - - . , - , , . . Re : The Estate of ; _ , ~ ~ - ~ `~1~.~~~ ..C:. ~~+..ll ~:"rf ' . _ . . . . _ a . . . ' ~I~~~ _<.~f {_`{1.'.)_. ~ . . ~ ` - ' DQCeased '~{}:4 - - - _ - Fi~.EO,~~~~~r.c~n~~o Resident af _ _ _ - - ST.IU~.~~_ti~~ll~TY flA. ~i,,;,_•:, '(?~~~IAS . ~ _ - ~i ~:;f. .~.~!'i (~~~~Rj COUlity ~ - _ - . - . n ~ r ( ' _ - . . ' r."~'„""~.~ . - . - . - 1.' . ~ - - ~IA~ 4 lo P~' f ~ _ I~ate : ` ~ _ , - . _ _ ; , : - - _ $5 . 40 ~~ee Received : - _ - ' - THIS IS TO CERTIFY, That in accordance w~~h t~e provisions of Chapter 198, Florida Statutes, t~er~ `~?as been fil~d with this of~ce a sworn repo~t or return for Estate : Taxes as required by law and on the basis thereof it has been ascertained the abo~?e ~state ~s nat subyect tcr the Flori~la Estate Tax . The issu~nce uf this certi~cate, hoivever, shali _ " - _n~t preclude the asses~ment and collection of Estat~ Taxes subsequently determined to be ; ~ due the State o~ Florida. . - . - ~ If proof of non liability by the above estate for the Florida Estate Tax is required ~ by any person this Certi~cate muy be exhibited as evidence of such non liak~ility. , ~ _ - Given in quadra}~licate under my hand and ~he seal o~ the State of Florida the - date first above written. . , _ _ - - : t ~ i j ~ - - / - , . , L. ~ _ - < , r ' . _ ` ' - , _ - ~ ~ . ~ ~ F' ' ` - _ _ , - . . . . i ~ ~ : _ Exec~tive Director ~ - ~ - • Departm~nt of Revenue . ? _ _ _ ~ j_: ~ . ~ - = - - ~ . ~ - ~ . • - 0R~An ~ ~ = ' ' ~ BOQK ~ll PAGE ~ `t - ~ : ; = l~ot valid_ rvithout s~al a£fix~d r