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Form Dr-308 - Request And Certificate For Waiver And Release Of Florida Estate Tax Lien

DR-308

Request and Certificate for Waiver and

R. 10/09

Release of Florida Estate Tax Lien

Rule 12C-3.008

Florida Administrative Code

Effective 06/10

Please mail the waiver and release certificate to:

Name _________________________________________________________________

Attention ______________________________________________________________

Please print or type. This information

Address _______________________________________________________________

will be used to mail document.

City/State/ZIP _________________________________________________________

This request is for issuance of a certificate releasing the lien for estate tax on the property described below, belonging to

or forming part of the gross estate of the decedent identified below.

Name of decedent

Name of personal representative

Date of death

Mailing address

County and state of domicile

Mailing address (cont.)

City, state, ZIP

Legal description of property as shown on deed (additional space on back of form)

I, the undersigned,____________________________________________, do hereby state under penalties of perjury that I have read

(Print name of personal representative)

this document and the information stated in it is true [ss. 92.525(1)(b); 213.37; 837.06, Florida Statutes (F.S.)].

Signature _________________________________________________ Date______________________________________________________

(Personal representative)

Mail to:

Certificate: The estate tax lien for the above named estate has been duly discharged or

duly provided for and I issue this certificate waiving and releasing the lien of the State of

Florida Department of Revenue

Florida imposed by Chapter 198, Florida Statutes, on the above described property.

PO Box 6460

Tallahassee FL 32399-6460

_______________________________________________________________________________

Authorized Department signature

___________________________________________ ___________________________________________

Please submit in duplicate.

Title

Date

NOT VALID UNLESS DEPARTMENT OF REVENUE SEAL IS IMPRINTED.

Form Dr-308 - Request And Certificate For Waiver And Release Of Florida Estate Tax Lien