HomeMy WebLinkAbout0110 ~ .
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FORM iT G.s+a ' ~
REV. AU6. 1. 1Y6S
1`791'79 ~
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~ TALLAHA58EE . ~
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FRED O. DIGKINtON. JR. 3~~
OOMtTf10LLtR
NON-TAXABLE CERTIFICATE AND RECEIPT C 17090
FOR ESTATE TAX
TO• Edna M. Breymeier, Spouse Re: The Estate of Roy J. Breymeier
1306 Royal Birkdale Circle ~
Rockledge, Florida 32955 Resident of st_ r.LC~e ;
Cp~{~~ F i c~r i A a
~te: ~3r29. 7 9Fi9
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' ~1.00 Fee Received:
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t 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 basis thereof it has been asoertained the above estate is not
~ subject to the Florida Estate Taa. The issuance of this certificate, however, sball not pre-
~ clude the assessment and collection of Estate Taxes 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 Tax is required by
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any person tlvs Certificate may be eah~ibited as evidence of such non liability.
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~ Given in quadruplicate under my hand and seal the date first above written.
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~ FRED O. DICKINSON, JR.
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~ - Cy~~~ , ,
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~ Comptro er of the State of Florida.
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" ~ F~~EO aF10 RECORDEO
~ . SY. LUCtE COUNTY. FL,p.
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Not val~ without seal affized.
~ '69 ,1I}~~ ~p
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~ Rou~p ~o~rRas ,
~ CLERK CIRCUIT COURT
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~ 600K 1 1 O PAGE ~
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