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Ik'~JCA~ LE C ERTI FI CA?T~ E. GREEN, Coxaptroller
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so~ IN.._~' I~P~'~~E~~ l30t~D RECEIPT
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xe: Estate o#:", : , . ~ . {
FLORIDA ~
To ~~ln ~czn.ttcam ~oennp~z /~e.~v.in Ko~nerz (
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THIS I~ TO CERTIFY, That a sworn return for Inheritance and Estate Tax has been filed by the duly qualified
representative . of t~he above named Estate; and that, af ter allawing all lawful debts and other deductions and
the statutory exemp applicable thereto, it was as~certained that said Estate was not subject to Tax. The
issuance uf this` cez`Cif~te, however, shall not preclude the assessment and collectfon of taxes subsequently i
deterrnixr~ ~to be~due the State of Florida.
lLs~~rovi~ed under Set~io~.2~, Chapter 14739, Acts o! 1931, and Sectian 15, Chapter 16015, Acts at i333, this cQrt'icate
shalt 3se :suthazity #or the Couaty Judge wherein said Estate was administered to perm.it a iinal settlement or zccounting
hy t~ a10r~id r0p7eaeIItative theTeOt.
~iven in quadruplicate ~nder my hand and seal this, the .,~.r~ day o# , A. D. 19~
Comptro~er's f~e af ~1 Q8 `
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