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I~ORM - 603 STATS OF FIAItID~? ~
~ D$PA~1~T OF RSVS~JS
Certificate of ~a,~ver
and R,elease of Florids $state Tax Lien ~
Satat~ of Rea dent at ti,aae of Death Date o~~.D
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Benjamin F. Sundy Florida, 12-25-64
Tp: - Nams and~addreas of Appl__cant
Mr. Robert C1ay Kime ~
Attorney at Lnw _
363 Soutl~ County Road ~
Palm Beach, Flarida 33480 1
- I, hereby cert fy that the estate tax for the ve named eetnt~, has
bsen--dn~~~disQharged~ c~r ~du~,~: provrided €or. _ : ~Iherefor~a.. aad_b~ r~a?a~on:_ ~r~. -
i do hereby i8sue this certificate waivinq and releasinq the lien o~ the .
State of Florida i~aposed.by Chapter 198, Florida Statutes, on the follawisiq
described property.- -
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S~gnatu T tle: Ch ef . ~ Date
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state Tax Bureau ~
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