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REV. Auo. 1. 1~6a
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TAL~.AHAgSEE
FRED O. DIGKIN~Ol1. .1R. '3~04
OOMITwOLLfR
NON-TAXABLE CERTIFICATE AND RECEIPT C 16333
FOR ESTATE TAX
TO• Sidney L. Willard, Spouse Re: Tbe F~state of Ethel Mae Willard
c% Mr. H.D. Booth
Vice President
P. O. Box 36 96 Resident of S t. Luc ie
Fort Pierce, Florida 33450
~~ty~ Flor ida
Date: MaY 19, 1969 _
~1.00 Fee Reoeived: Same
THIS IS TO CERTIFY, That in acoordance with the provisions of Chapter 198, Florida
' Statutes, there has been filed with this office a sworn report or return for Estate Taaes as ~
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required by law and on the b~s~s thereof it bas been ascertained tLe above estate is not
~ subject to the Florida Estate Taa. T'he issuanoe of this oertificate, however, shall not pr~ ;
clude the assessment and collection of Estate Taues subsequendy determined to be due the i
State of Florida. '
If proof of non liability by tLe above estate for the Florida Estate Taa is required by
any person this Certificate may be ezLibited as evidenoe of such non liability.
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Givea in quadruplicate under my hand and seal the date first above written.
- ~ FRED O. DICKINSON, JR. ~
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:yu4 - ; ` CoinPtro er 1~p~~~'
? ~ ST, I.UCIE COUNTY, FL~.
. • R~.Ct~R~ `JERIFlED ~
- - 1'78512 '
- : ~ . '69 M~~Y 2 0 AN i { : 2 q
Not va~id wltLout se41 affiued. ~
~cOG~R PQl7RAS~
- CLERK CIRCUIT ~~OUR7
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