Form Dr-312 - Affidavit Of No Florida Estate Tax Due With Instructions

Form Dr-312 - Affidavit Of No Florida Estate Tax Due With Instructions - 2000

DR-312

Affidavit of No Florida Estate Tax Due

N. 01/00

(for decedents dying on or after January 1, 2000)

(this space available for case style of estate probate proceeding)

(for official use only)

STATE OF _____________________________

COUNTY OF ___________________________

I, the undersigned, ________________________________________________________________ , do hereby state:

(print name of personal representative)

I am the Personal Representative as defined in s. 198.01 or s. 731.201, Florida Statutes (F.S.), as the case may be,

of the Estate of _____________________________________________________________________________ .

(print name of decedent)

The decedent referenced above, whose Social Security Number is _________________________________, died

on _____/_____/_____, and was domiciled, as defined in s. 198.015, F.S., at the time of death in the state

(date of death)

of _______________________.

On date of death, the decedent was (check one):

a U.S. citizen

not a U.S. citizen

3. A federal estate tax return (federal Form 706 or 706-NA) is not required to be filed for the Estate.

4. The Estate does not owe Florida estate tax pursuant to Chapter 198, F.S.

5. I acknowledge personal liability for distribution in whole or in part of any of the Estate by having obtained release of

such property from the lien of the Florida estate tax.

Under penalties of perjury, I declare that I have read this Affidavit and that the facts stated are true.

Executed this ______ day of ______________________, 20 _______ .

Signature:_________________________________________________

Print Name:________________________________________________

Mailing Address:____________________________________________

_________________________

Telephone: ____________________

STATE OF __________________

COUNTY OF ________________

Sworn to (or affirmed) and subscribed before me by ___________________________________________________________

on this _____________ day of _______________________, 20______.

Signature of Notary: _______________________________

Personally known ______

Or Produced Identification ______

Type of Identification Produced_________________________

_______________________________________________

(Print, Type, or Stamp Name of Notary)

Form Dr-312 - Affidavit Of No Florida Estate Tax Due With Instructions - 2000