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P'orm E.T. C-814 ~ t
~oN-TAXABLE CER~ IC~lTE FRED O. DICKIN50V, JR., Comptroller
Q~~~'~'E~Sp FI ^ RD~'N~ RECECPT
~~~~ry`~~~ ~(~y~
~ l ~TQTE OF FLORIDA ~ 63~~0
~ O ,_.~r~r~ r a ~ , . o~aLLAHASS~E
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. . •S T. r;~ C G U Cr T Y, Re: Estatc of:
v C1ark~LORIDA `
To~ - Martha B. Clark ~
~i; rr: . ~
_ Fort Lauderdale, Florida~ _ ~,~~~i~t~r.atinn ~
~n~t~~~to f
Petitioner _ :~dre?~ ~n orl ~ ~ounty
THIS IS TO' ~E~ TIFY, That a sworn rehun for Inheritance and Estate Tax has been filed by the ciuly qualifiecl
represr~~tiy~„pf'l3at~ above named Estate; and that, after allo~;~ing all lawful debts and other deductions and
~ t~ie,r~~'oty ~einptto~ applicable thereto, it was ascertained that said Estate was not subject to Tax. The issuance
vf r~It~.,~t,e; it~iw~ver, shall not preclude the assessment and cbllection of taxes subsequendy determined to be .
: rI~ ,~'~et~ of . ~`lorida.
. ;
a ~~!?s pROVi$~d under 5ection 28, Ghagter 14739, Acts of 1931, and 5ection 15, Chapter 18Q15, Acts nf 1933, this cextificate ~
,~s~aj]~bv $kthon(y far i"~e ty Judge wherein said Estate was administered to pcrnut a final settlement or acc~unling by the ;
afot~e"said repr~u~~d~ !
~~~y~;~ ~,~ti~~~~t~ under my hand and seal this, the _______lb._ clay of December , q, Ig 65 ,
R~~4?~~t',~ ~ • • , _ - '
~ + Y ~'N~Mt'/~-_
~ Comptroller, State ,of FI '
~ R 133 47?
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