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FORM OR.I02 p ~
fILEO ANO RECOR E
STATE OF FLORIDA ~ gT.~uC~E COUNTY fl •
DEPARTMENT OF f~ENUE aocER Po~Ta~s
CLERK C?RCUIT COUi~t
ESTATE TAX BUREAU aECOao vEa~f~Eo
- TAL.LAHASSEE. FLORIDA 32304 ~~8 918 pM
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~~*~W?~ NON • TAXABLE CERTIFtCATE AND RECEIPT
ExECUT~M[ WRECTOI! FpR ESTATE TAX
TO:Sheila H. Fowler, Sxe~. '
c% Mr. Philip G. Nourse ` A~ Q~~
Attorney at Law
133-A North 4th Street g,~; The Eetate of Carl S. Fowler
Fort Pierce, Florida 33450
Deceseed . ~
Resident of st. Lucie
County, Fler ida
Date• su~o 2, 1p7~
$1.00 Fee Received: ~A~ 2a, ~ 9~~
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, THIS I3 TO CERTIFY, That in accordsnce ~?ith the provisions of Chapter 198, '
f Florida Statutes, there has been filed ~vith thia office a aworn report or return for Estate
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~ Taxes ss requir~d by !aw and on the baeie thereof it has been ascertsined the above eatate .
is not subject to the Florida Eatate Taa . The iseusnce af thie certificate, however, ahail
not pr+eclude the sssessment and collection of Estate TaaeB aubseyuently determined to be
due the State of Florids.
If proof of non tiability by th~ ~t~ove eatate for the Florida Estste Tsa is required
by any person this Certificate may be exhibited as evidence of such non lisbility.
Given in quadruplicate under my hand and the sesl of the 3tate of Florida the
~ date first sbove written.
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