FLORIDA DR-41C
Dealer's Sales Tax Statement - Boats
R. 04/01 		DEPARTMENT
OF REVENUE
Date: 04/19/2026

I hereby certify that the sales tax due under Chapter 212, Florida Statutes, has been paid by the purchaser on the boat described herein:

Purchaser's Name: John A. Miller
Address: 900 Brickell Ave Suite 3200 Miami FL 33131
City: Miami (See addr) State: FL ZIP: _____ Phone: 305-555-2211
Previous Owner's Name: Estate Executor
Address: Santa Barbara CA
City: ______ State: __ ZIP: _____ Phone:
Description-Make: Hargrave Model: Raised Pilothouse
Hull Number: HCY16J05A616
State Reg and/or Doc Number: US-REG-7845123 / DOC-116-REN
Length: 116 Beam: 24
Vessel Name: RENAISSANCE
Type (check one):      Inboard      Outboard      Sail      Other
Date Purchased: __________________
Purchase Price: $ $6,430,000.00
Tax Collected: $ $0.00
Dealer's Name: Reel Deal Yachts
Address: 19790 W Dixie Hwy, PH 1
City: Miami State: FL ZIP: 33180 Phone: 305-538-2022
Certificate of Registration Number: FL-Dealer-8891
Signature: (Authorized Dealer Representative)
This form is not valid unless completed in its entirety, signed by selling dealer, and the dealer's sales tax certificate of registration number shown.