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STATE ~SF FLO~IbA ft.~,yqf CO
• DEPARTMENT OF REVENUE a~ c
ESTATE TAX BUREAU ~~'F~~
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TALLAHASSEE, FLORIDA 32304 ~ ~ ~ ~ ~
• 2U8194
Eo BTRAU6HN NON-TAXABLE CERTIFICATE AND RECEIPT
[=[CUTIV[ OIR[CTOR FpR ESTATE TAX
TO:Carswell Hersey, Heir at Law
c% Abstract and Title Corporation
P. O. Box 3696 C~?.3 l~ 3
Fort Pierce, Florida 33450
Re: The Estate of Lila Hersey Hoim
Deceased.
Resident of S t. Luc ie
S
~ County, Flor ida
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~ Date: April 7, 1971
R
r E1.00 Fee Received: Same
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k THIS IS TO CERTIFY, That in accordance with the provisions of Chapter 198, Florida
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~ Statntes. there has been fiied with this office a sworn report or return for Estate Taxes as
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~ required by la~v and on the basic t}?ereof it has been ascertained the above estate i~ not
~ ~ubjeci to the Floric~a E~tate Tax. The issuance of this certi[icate, however, shall not pre-
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~ clude the a~:e•sment and collection of Estate Taxes subsequently determined to ~e diec tiie ;
~ State of Florida.
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~ -
~ If proof of non liability by the above estate for the Florida Estate Tax is required by
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~ an~- per,on this Certificate may be exhibited ar evidence of such non liability.
Gi~-en in quadruplicate under my hand and the ~eal of the State of Florida the date first
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~ above written. •
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'Yot valid without scal affi:ed.
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