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FILED ARD~C LE CERTIFICATE ~xgu o. DICIONSON, Jn., comraol~
Q~4~E~o,~ ST, I.UCtE COU ~ , RECEIPT
~ ~ RECORD VERI~ E OF F10RiDA
o~r~c~~".' A '70'704
tip~' T HASSEE
06 Jl1~1 20 PM 3.~
146263
~0:~~ ~ i'OITRAS
CLERK CIRCUIT COURT Re: Fstate of:
To Ban6an.a ~,~a.s~re ~anlp~ 1_ C'i.La.~I~P
~OlLf /'.CPJLCQ~ ~~OJLZQR _LVp ri~mi nl a~I~l1~1 n»
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.Swcv.i.v,inQ .S~ou~e ~
THIS IS TO CERTIFY, That a sworn return for Inheritance and Fstate Tax hss been filed by tLe duly qualified
represestative ofr t},?e above named Fstate; and that, after allowing all lawful debb and other deductions and
ihe stafutojqr .~ption applicable theret~, it was ascertaine~l that said Fstate was not subject to Taa. The issuance
of t~3 cartificatt, .~ovyw+~r, shall not preclude the a~nent and collection of raxes subsequently determined to be
due~the State of
.
shall ~ p~' ns~t Seet~o~ 1
sad' ~ w
t~l~admin
~a~to 15P~~+~~na~iss~t~
r a~oooun~ting~by
~th~e
3~`~•~
~~iq -qt~rup~ic~e under my hand and seal this, the -1~_ day of , A. D.19~~
Reo~ _ ~ ~
.n,~e c~pero~, s~c~ ~ ~a. ~
~ - ~ -aooK148 448
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