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FORM ET C-614
Rcv. AuG. 1. 1~60
ss~330
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TALLAHASSEE
FRED O. DIGKINiON, JR. 3~04 ~
tOYriROLLqt . ~
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NON-TAXABLE CERTIFICATE AND RECEIPT ~
FOR ESTATE TAX 2 U 13 2 ~
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TO: Elizabeth Adderly, Spouse Re: The Estate of George S. Adderly +
c% Mr. Moie J. L. Tendrich
Attorney at Law Lk~ceased. ~
2240 Biscayne Boulevard ~
Miami, Florida 33137 Resident of St. Lucie ~
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Cownty, Flor ida ~
Date: - Julv 22, 1969 '
~1.00 Fee Received: Same
THIS IS TU CERTIFY, That in acoordance with the pruvisions of Chapter 198, Florida =
Statutes, there has been filed with tbis office a sworn report or return for Estate Taaes as ~
required by law and on the basis thereof it has been asoertained the above estate is not
subject to the Florida Estate Tax. The issuanoe of this .certificate, hovvever, shall not pre-
clude the assessment and collection of Estate Taxes subsequendy determined to be due the
State of Florida. ;
If proof of non liability by the above estate for the Florida Estate Taa is required by
any person this Certificate may be eabibited as evidence of such non liability.
Given in quadruplicate under my hand and seal the date first above written.
FRED O. DICKINSON, JR.
- _ - . ~ cy~~Y~ , `i
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Comptroller of the State of Florida. ~
- . - - = . ' ~r~EO AN~ RECO~oeo ~
_ - ~T. LU~I~ ^OUNTY. rLH. ~
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