Affidavit of No Florida Estate Tax Due
(For official use only)
I, the undersigned, _______________________________________________________________________ , do hereby state:
I am the personal representative as defined in section 198.01 or section 731.201, Florida Statutes, as the case
may be, of the estate of _____________________________________________________________________________ .
2. The decedent referenced above died on _____/_____/_____, and was domiciled (as defined in s. 198.015, F.S.) at
the time of death in the state 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 the facts stated in it are true. This declaration is
based on all information of which the personal representative has any knowledge [ss. 92.525(1)(b); 213.37; 837.06, F.S.].
State of __________________________________________ County of __________________________________________
(This space available for case style of estate probate proceeding)
(print name of personal representative)
(print name of decedent)
(date of death)
File this form with the appropriate clerk of the court. Do not mail to the Florida Department of Revenue.
Executed this _______ day of ______________, 20 _____________ Signature ________________________________________________
Print name _______________________________________________ Telephone number _______________________________________
Mailing address ___________________________________________ City/State/ZIP ___________________________________________
State of _____________________