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Form E.T. C-01{ ~~~K ~~ Pl`iCF lJ~~
NON}•°~,~.Xi~4 ~[-. F, ; +~T~ F~ T t~F~ ~ C A T E
AND RECEIPT
STATE OF FLORIDA
COtviMi~S10N~R OF R~VI~NUE
TALLAHASSEE
Re: Estate of:
T
I .t Fiic~u~~~ c~o~~~30flK
i~sz o~~ iz aM ia: 5s
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. ~ .'~v,"a s i lc '~~.
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ROGER POI i RAs, CLERK o ~ ~ 1 i±+~`~ ..•'
ST. LUCIE COU"11'(, FLORIDA ~~_~ "~~~~~
A^eline 1.1. ~anistei•
Rve, tie;. Yor'.~c _--__--
RAY E. CREEN, Comptroller
as Coinrnisioner of Revenue
A 20265
--=..cTt:i.TArllr nI? I.T. ~tIZSTE'i---- -- -- - --
Florida propenty in St. Lucie and ~ re :'a?'~i
Admiristerec! i~>;:e::_-Y;?rk,_ '~as~c::~~ter _-_-County
THIS IS TO CERTIFY, That a sworn rehn•n for Inheritance and Estate Tax has been filed by the duly qualified repre-
sentative of the above named Estate; and that, after tcllo~~•ing all lawful debts and other deductions and the statutory
CXCmI)t10A al)~ }icable.thereto, it xti.1s ascertained that said Estate was not subject to Tax. The issuance of this certificate,
however, shalh. riot pa~eclude the assessment and collection of taxes subsequently detern)ined to he due the State of
Florida. ~: ~ .: • `. ~'.
' As provkisd u/}dbr:SEctioa 48, Chapter 14739, Acts of 19.".1, and Section 15, Chapter 16015, Acts of 1933, this certificate shall he
authority for the (;puutr-3udi;e wherein said Estate was administered to permit a Snal setLement or accounting by the aforesaid representa-
;j
tive thereof. -)
Givetl i;a: cftiad~upllcate under my hand and seal this, the__-- 1Q~s? cla}• of_~~'-cembe~"' -___- . A. ll. 1~_ -_`'~
> , -_ ' ,
Compkollet,~;~e$,eif'~I.00 ~ - f ~~-'~
Received ` ~' Gmrtr .ler, Stete of Florida, es Commissioner of Rcccnuc
- tJ~ate
r.:tiecutri~