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FORM R C•614
R[v. AUG. 1, tY6•
FRED O. DICKINfON. JR.
ODMrT1lOLLeR
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TALI.AHAS3EE
32304
18i42~
NON-TAXABLE CERTIFICATE AND RECEIPT C 2V 468
FOR ESTATE TAX
TO: Halene M. Deffendall Re: The Estate of Forrest H. Deffendall
C/o Rupert J. Smith
209 Raulerson Building Deceased.
Fort Pierce, Florida
Resident of St. Lucie
Surviving Spouse
County, Florida
Date: July 25, 1969
X1.00 Fee Received: Same
THIS IS TO CERTIFY, That in accordance with the provisions of Chapter 198, Florida
Statutes, there has been filed with this office a sworn report or return for Estate Taxes as
required by law and on the basis thereof it has been ascertained the above estate is not
subject to the Florida Estate Tax. The issuance of this certificate, however, shall not pre-
clude the assessment and collection of Estate Taxes subsequently determined to be due the
State of Florida.
If proof of non liability by the above estate for the Florida Estate Tax is required by
any person this Certificate may be exhibited as evidence of such non liability.
Givea~ in quadruplicate under my hand and seal the date first above written.
FRED O. DICKINSON, JR.
C~SeI~~
Comptroller State of Florida.
EKED AND RECORDED
ST. LUCIE COUNTY, FLA.
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'69 AUC y 18142
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