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STATE OF FLORIDA s~WC1E COqITy~, c'S'
2Q452`?' DEPARTMENT OF REVENUE ~
CtERK CIkC11iT C61MT ~
ESTATE TAX BUREAU RECORD YERIF~EO.,,~,~
TALLAHASSEE. FL,ORIDA 32304 ff8 I ~ 3 ~S ~~1~
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~o iTRAUGMN NON TAXABLE CERTIFICATE AND RECEIP'~" 2Q452'?+
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FOR ESTATE TAX
TO:Anna Peterson, Spouse
c% Mr. Royce R. Lewis
xttorney at Law C 5 3 4 61
133 South 2nd Street
Fort Pierce, Florida 33450 Re• The Eatate of
~ Clifford J. Peterson
Deeeased.
Rcsident of - St. Lucie
~,~tr~ Flor ida
Date: Februarv 9, 1971
=1.00 Fee Received: Same
THIS IS TO CERTIFY, That in accordance with the provisions of Chapter 198, Florida
Statutes, there has been filed with this office a sworn report or retnra fot Estate Taxes as
, required by law and on the baais t6ereof it has been ascertained the above estate is not
subyeet to the Florida Estate Tax. The issuance of this certifieate, however, ahall not pre-
clude tlie assessment and collection of Estate Taxes subseciuently determined to be due the
' State of Florida.
If proof of non IiabiIity by the above estate for the Florida Estate Tax is required bp
any person this Certificate may be exhibited as evidence of snch non liability.
Given in qnadraplicate nnder my hand and the seal of the State of Florida the date first
above written.
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Not valid without eeal affiaed.
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