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FORl1 DR301
STATE OF FLORIDA ~ j
~ DEPARTMENT OF REVENUE f
~L _ ESTATE TAX BUREAU fIlEO AND RECQRDED `
TALLAHASSEE. FLORIDA 32304 ST. LUCIE COUNTY. FIA. ~
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•ED ~~HN - AXABLE CERTIFICATE AND REC~~P~C~ 2 AM 9: 26 ~
NON T ~
CI[ECUTtVE OIRECTOR FOR ESTATE TAX
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TO: Jess Bard, Heir at Law CLERK CIRCUIT COURT ~
c% Mr. Anqus sumner Cn~ CJ ;
Attorney at Law
P.O. Box 3230 ~
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Fort Pierce, Florida 33450 Re• The Estate of Lucille Bard =
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Deceased.
Resident of St. Lucie
- . County, Flatida
j Date: November 26, 1969
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~1.00 Fee Rece.ived: S~e
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~ 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 Taxer 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- ~
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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.
Given in qnadruplicate under my hand and the seal of the State of Florida the date first
above written. .
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~ ~ _ . - • Eaecutive Director
~ 9. ~ - - Department of Revenue
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~ ° R 181 ~E1081 :
Not valid without seal affixed. S~K ~
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