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~ NON-TAXABLE CERTIFICATE AND RECEIPT C 4383
FOR ESTATE TAX
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TO: Robert A. Cooper, Spouse Re: The Estate of Helen M. Cooper
c% Mr. Robert M. Lloyd ;
Attorney at Law I~eoeased.
P.O. Box 1000
Fort Pierce, ~'lorida 33450 Resident of S~-~o
County,
Date: w,=,~TM~,. ~2.,-~568
~1.00 Fee Reoeived: c~ r~~r 23., i 96a .
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~ THIS IS TO CERTIFY, 1~at in acc~ardance with the provisions of Chapter 198, Florida
~ Statutes, there bas been filed with this office a sworn report or retura for Estate Taaes as >
~ required by law and on the basis thereof it has been asoertained the above estate is not ~
subject to the Florida F~state Tax. The issuance of this certificate, however, shall not pre-
clude the assessment and collection of Estate Taxes subsequendy deteimined to be due the
State of Florida.
If proof of non liability by the above estate for the Florida Estate Tag is required by
---~any person tbis Certificate may be eahibited as evidence of such non liability.
Given in quadruplic~ate under my hand and seal the date first above written.
. L~~~iF,:,; : FRED O. DICKINSON, JR.
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H~~~~;^' - Com troller the State of Florida.
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t~-,k'• . ' - REGQRDE~
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CLERK CIRCUIT COURT
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