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• • FORM - 603 STAT$ OF FIARIDA ~ •
D$PARTI~NT OF RgVBNUS 20~4
_ Certificate of Waiver and Release of Florida $atate Tax Lien
$state of Resident at time of Death Date of Death
TO: ame a~d addresa of Applicant
Robert M. Lloyd . -
Attorney at Law
P.O. Box 1000
Ft. Pierce, Florida 33450
I, hereby certify ~hat the estate tax for the above name estate, as
bee~ duly discharqed or duly provided for. wherefore and by reason whereof.
I do hereby.isaue this certificate waivinq and releasinq the lien of the
State of Florida imposed.by Chapter 198,-Florida Statutes, on the follo~winq
described property.
The Northwest 1/4 of Northwest 1/4 of Section 22, Tawnship 35 South,
Ranqe 38. Sast.
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Si Title: Chief Date
~ Estate Tax Bureau ~~er 3, 1970 bo
g~x 188 ~2485
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