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I make this statement knowing full well that relies on the accuracy thereof for the purposes of issuing its policy of title insurance in the captioned matter. File this form with the appropriate clerk of the court.Do not mail to the Florida Department of Revenue. Find common questions and answers about estate taxes, including requirements for filing, selling inherited property and taxable gifts. The gross estate of the decedent does not necessitate a federal estate tax filing. Also, this Affidavit will serve as your tax clearance on all probated estates where filing of the Federal Estate is NOT needed. Affiant states that all assets of the estate pass to exempt beneficiaries pursuant to Kentucky Revised Statute. 140. A completed Form ET-141, New York State Estate Tax Domicile Affidavit. The estate must also submit a completed Form ET-141, New York. State Estate Tax Domicile Affidavit.