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~ STATE OF FLORID.. si•~YCIE COII~~?l~l~.
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- DEPARTMENT OF REVENUE RR CIRCiqI
ESTATE TAX BUREAU ~a~F~~~~~
TALLAHASSEE, FLORIDA 32304 ~ ~ ~
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NON TAJCABLE CERTIFICATE AND RECEIPT ~
a""'~" FOR ESTATE TAX
TO: gelen L. Groat, Spouse
c% Mr. Charles R. P. Brown C 4 7 7 8-j
Attorney at Law
P. O. Box 1418
Fort Pieree, Florida 33450 Re• The Eatate of
~ ~ William D. Groat
Deceased.
_ Reaident of St. Lueie
County, Flor ida
Date: November 5, 1970 .
;1.00 Fee Received: Oetober 27, 1970
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~ THIS IS TO CERTIFY, T6at in aooordance with the prnvisione of Chapter 198, Florida
~ Statntes, tLere Lae been filed with thie of~ice a aworn report or return for Estate Tuee ae
~ reqnired by law and on t6e basia thereof it has been ascertained t6e above est~te ie not
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sobject to the Florida Estate Tax. The issuance of this certificate, however, ahall not pre-
~
clnde the sesessment and collection of Eatate Taicee eubsequendy determinea to be dne t6e
State of Florida.
If proof of non liability by the above estate for the Florida Estate Tax ie required b~
any person this Certificate may be exhibited as evidence of snch non liability.
Given in qnadraplicate nnder my hand and the seal of tLe State _of Florida the date fird
above written.. ~
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rrot valid witho~ seal affi:ed. eooK 188 ~ 30?
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