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STATE OF FLORIDA
DEPARTMENT OF REVENUE FtLEO ~Nn RECOROEO ,
ESTATE TAX BUREAU S'• ~~~~E COt1NTY. FLA.
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TALLAHASSEE, FLORIDA 32304 19O~JH:~ _
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_ Ea STRAUGNN NON-TAXABLE CERTIFICATE AND RECEIP.~'~,,_.: .-.~~T ,,:s~
[:ccur~vc o~wcctat
FOR ESTATE TAX c~.~~h c:~c~i~ ~ouaT
TO: Margaret H. Grange, Heir at Law
c% Marie Alice Crano c 3 2 5~ 1 `
Attorney at Law ~ ~
P.O. Box 185
Frostproof, Flarida 33843 Re• The Estate of Clara M. Hazelberg ~
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Deceased.
Resident of St. Lucie
County, Flor ida
Na Real Estate
f Date- Februarv 25, 1970 ~
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' - _ _ ~1.00 Fee Received : S ame
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~ THIS IS TO CERTIFY, That in accordance with the provisions of CLapter 198, Florida '
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~ Statutes, there has been filed with this office a aworn report or retnrn for Estate Taxea as
~ requitad by law and on the basis thereof it haa been ascertained the above estate ia not
r :ubject to the Florida Estatc Tax. The issuance of thia certifieate, however, ehall not pre-
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~ clude the assessraent 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 ia required by
~ any person this Certificate may be exhibited as evidence of such non liability.
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~ Given in qnadruplicate under my hand and the seal of the State of Florida the date firat
~ above written. -
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~ _ - - -~xecutive Direetor - '
~ ~ Department of Revenue '
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~ Not valid without seal affiaed.
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