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FORM ET C-61! ~
REV. AuG. 1. 1969 ? i
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TALLAHA85EE
FRED O. DICKiNfOti, JR. 3~04
COYr'iROLL4t
NON-TAXABLE CERTIFICATE AND RECEIPT C ~~368
FOR ESTATE TAX
TO: John Boons, Spouse Re: The Estate of Martha Boons
c/o Moie J. L. Tendrich
Attorney at Law Deceased.
2240 Biscayne Boulevard
Miami, Florida 33137 Resident of St. Lucie
County, Florida
Date: July 24, 1969
I~ $1.00 Fee Received: Same
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E THIS IS TO CERTIFY, That in accordance with the provisions of Chapter 198, Florida
~ Statutes, there has been filed with tlvs office a sworn report or retura for Estate Taxes 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 issuance of this certificate, however, shall not pre-
~ clude the assessment and collection of Estate Taxes subsequently determined to be due the
~ State a~ Florida. _
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If proof of non liability by the above estate for the Florida Estate Tax is required by
~ any person this Certificate may be ealubited as evidence of such non liability.
~ - Given in quadruplicate under my hand and seal the date first above written. -
~
~ . FRED O. DICKINSON, JR.
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4 ~ . ~'.ar~A'~ , :
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~ ~ _ . Comptroller of the State of Florida. 3
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