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Form ~.T. C-61S ~ t ' ~ ~ ~ ~
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o~L~ . ~ ~~?.XI~BL~ CERTIFICATE R'~Y 1~. G~tgE~, CompLxouez-~
g~c`L So~, BQpk~ND RECEIPT
w r~ STATE O F FLO R i DA ,A ~ 3 2 2 0
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~ 2I P~~ 3: 25 , .
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P~CI'r~~; r-~i~? ~tf~~. Ct_Ei;K
~T. ~t~CIE C4UEJTti`, - . _
~ ~ LQ RI D A Re: Estate of: - -
T~ a~ ~/ana Kin ~ana - .
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i ~ .~~01LLC~~ Nv ,~r.~r,zrrr.~.~,nay#..c:on \ • ,
7T, ,
~e~l.zderLtv
County
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TH~S IS TO CERTIFY, That a sv,~orn return for Inheritance and Estate Tax has been filed by the duly qualified
representative af the above named Estate; and that, after allowing aII lawful debts and other dedsactions and
the statutory e~erri~tion applicable thereto, it was ascertained that said Estate was not subject to Tax. The
issua~e of this cet~ti~iCate, however, srall nat preclude the assessment and collection of taxes subsequently
determined to be due tI~ State of FJorida.
As provided under 5ectinn 26, Chapt~r 14739, Acts of 1931, and Section 15, Chapter 16015, Acts of 1933, this certificate
shall te authority for the County Judge wherein said Estate was administered to permit a final settlement vr accounting
by the aforesaid repres~ntaiive thereof.
Given in qu~rupliCSte under my hand and seal this, the ,~2Q- day of n_ , A. D. 19~.
C~ti~aller s i`~e of ~1.~0 - " ~
Rs~ei~ed~~-,~Q- t~S 7__~,t-~! ~ ~~-Z..~ r ~ -
a~ 0 Q , Comptra er, 5tate of Florida
. , - deoK ~ ; _ .