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FORM <T C-614
R[v. Au~s. 1. ~ass
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1`74685
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TALLAHASS EE
FRiD O. DICKINiOIi, JR. 3~~
COYr7~OLLa
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NON-TAXABLE CERTIFICATE AND RECEIPT `
FOR ESTATE TAX ~ 9470 ~
Laura B. Cooperider, Spouse ~
TO• Robert M. Lloyd, Re: The Estate of Howard H. Cooperider ~
Attorney at Law
P.O. Box 1000
Fort Pierce, Florida 33450 Resident of Frank~ ~
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County, oh ~ o
DAte: Febru_ar_y 6 ~ 1969
~1.00 Fee Reoeived: same ~
~ THIS IS TO CERTIFY, That in accordance with the provisions of Chapter 198, Florida '
' Statutes, there has been filed with t~is offioe a sworn report or rehun for Estate Taaes as ;
f required by law and on the basis thereof it has been ascertained the above estate is not #
subject to the Florida Estate Taa. The issuance of this aertificate, however, sball not pre- }
clude the assessment and oollection of Estate Taaes subsequendy determined to be due the ~
State of Florida. ~
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If proof of non liability by the above estate for the Florida Estate Tau is required by ~
any person this Certifi~i~te ms~y be eahibited as evidence of such non liability. ~
,
Given in qu~~c~te under my hand and seal the date first above written. ~
~ FRED O. DICKINSON, jR.
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~ , : : ~ CY~r~~Y.~e• .
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~ ~ . : . ~ Comptroller o the ~~~~f Florida.
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' " = • ` FILEO ANO REC
IE COUNTY. FlQ•
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