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Form E.T. G614
NON-TAXA~LE CERTlFICATE FRED O. d~ICKT~SON, JR., Comptroller ~j~
E~'S ED A,J^ ECO DED ANC) RECEtPT
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~ ~ ~ ~ TATE OF FLOFf1DA ~
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r,~~~l 2 2 A~ i i ~ o ~ S T.4LLAHASSEE
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- _ _ • S~i. ~U~;L ;,~~~;;TY, He: Estate of:
, . ~o L . _ A ~9nna /Yi. Sm,.i,tlz
~~p,~ 3 ~~n~da _ _ Nv ~c~m.iru.~~za.~ion
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. Ad~~~' ~v~~~nn i rln,, S~ L~i~~r ~ County
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THIS IS T~ CERTIFY, That a s~vorn return for Inherita~ice and Estate Tax has been filed by the duly qualified
representativ~ ' of the alwve named Estate; and that, after allowing ~11 lawful debts and other deductions and
the statutory exemptivn a.gplicable thereto, it was ascer~ai~ied that said Estate ~vas not subject to Tax. The issuance
of this certificate, howevex, shaIl not preclude the assessment ancl collection of taxes subsequently determined ta be
due the State -of .F~a~, ' .
A,s ~ptoiRdr~ DDde,~r .S~?dktou 26, Chapter 1~739, Aets of 1931, und Section 15, Chapter 18015, Acts of 1J33, this eertificate
shall be aut3~e~ ~er ~lse •Cou~ry Judge wherein said Estate was administered to permit a finat settlement or accounting by the
aforesaid ~pme.een~'ti!}etV~tf.
Given in quadruplicate under my hand and seal this, the ~ ~ ay o NoVCm~7@Jz , A. D. 1 65
Comptroller's fee of $1.00 ~ ' ' ~
Receive _ ~ ~
- l~ Comptroller, State of Florida
BQOK 13~ 353