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. s EO AND RECOR~I~M~N-TAXABLE CERTIFICATE ~tsu o. DICJm~ISON, pe., co~otk~
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Q UCIE COUNTY. ~.A• AND RECEIPT
C~F^ ,t y~
I~ STATE OF FLORIDA "
9 `o~' ~ • ` TALLAHASSEE A _ 73368
oF 26 Ph9 !2g~1
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r:}..z_~=: ,~i~~~~?'OURT
CLERK CIRCUlY ~ Re: Estate of:
To .~P1Jdd.~~np~' fi~~~lt ~2[n
Lo~n~ U~,, _~.l2h~ dQ P~vn~tu ,uz S~. Luc.i.e (~o
~xorufnh Administered iD County
THIS IS TO CERTIFY, That a sworn return for Inheritance and Fstate Taz has been filed by tl~e duly qualified
reprea~tative of the above named N~state; and that, after allowing all lawful debb and other deductions and
the statuto~ry ~e~zemption applicable thereb~, it was asoertained that said Estate was not snbject M Taz. Tl~e issuance
of thia certificate, l~awever, shall ~t pseclude tLe assessment and oollection of tases subsequendy determined to be
due the Ststfie' uf ~ Fjurjda: .
As pivvided "qt~4i Scc~ba 26. C'~apter 14739, Ads of 19C31. and Sectlon 15, Qupter 16015, Acb af 1933, this catlt3cate
shall Ee ~utLoct4~ ~fo~;: Cwn~Y 7qc~e wbere~a iaid E~ate wat admini~ered to pe~t a finat tdtlemeat ar aooountlng by tbe
aforesaid reDr~atatlv_a t~aao~ .
- Given in q ~ under my hand and seal this, tLe ~ day of , A. D.19
Co~olle~ ee ' '
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