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Form S.T. G81/
NON-TAXABLE CERTIFICATE ~n u. DICK~NSON, ,nt.> co~+p~uer
AND RECEIPT
c~ STATE OF' FLORiDA A ~ n~~~
l)
TAL.i..AHASSEE
~ OF
Re: Estate of:
To ~nace f, ul~e ~nt~~cn f.~i.i.~p
C~l,~o au.da l~n~~ ,in Sz. Luc.t.e Cou
Administered in 0/~oa L,~~~QQ CGUnty
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THIS IS TO..CE~'#`iFY, That a sworri return for Inheritance and Estate Tax has been filed by the duly qualified
represe~ri~ti~~~ ' bf the abave named Estate, and that, after allowing all lawful debts and other deductions and
the .yst~a~tiatbry exemption apglicable thereto, it was ascertained that said Estate was not subject to Tax. The issuance
of -~his cert~icate, however, 's~all not preclude the assessment and collection af taxes subsequendy determined to be
dize therSiate of F1orid~:'
' As; ~rovided under ;Section 28, Chapter 14739, Acts of 1931, and 5ect{on 15, Chapter 190I5, Acts of 1933, this certificate
shalk be 'a~orify fdr the ; Gounty Judge wherein said Estate was admixiistered to permit a finat settlement or accounting by the
aforesaid rep~esentstive thCn'eaf. ~
Given ; ia quadruplicate under my hand and seal this, ihe 8 day of ~ A. 19 6
Comptroller's fee of $1.0(? ~i _ J
Receive '
~ 8 ~ Comptroller, State of F'lo~ida
~ ~~~`E~ AND RECQ RpE~K
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