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STATE OF FLORlDA ' '
DEPARTMENT OP' REVENUE
ESTATE TAX BUREAU ~ ~ .
TALLAHASSEE, FLORIDA 32SOd ~ ~ i ~
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sTpAUGNN NON-TA~CABLE CERTIFICATE AND RECEIPT ` ~J
sx« o,~~oR FOR ESTATE T~?X `r
T4~ John Malloy, Spouse ~ ~ ~ , ~ ~
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c% Mr. Royce R. Lewis r
Attorney at Law ~ - C 6~~~ 5'
133 South 2nd Street
Fort Pierce, Florida 33450 Re• The Eatate of Catherine Malloy ~
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FILEO ANp RECOR fp eceased. Fla. Prop. in- S~t: Luc ie Co
sT cuc~E couNtr
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~CUi
CouAr Resident of Cuvahocta
AECOR~ YER~FIEO~
County, Ohio
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Date: June 9. 19'7~
~~5~ =1.00 Fee Received; Same
THIS IS '1'O CERTIF`Y, That in accordance with the pro~isions of Chapter 198, Florida
Statutes. there has been filed witl~ this off~ce a sworn report or retura far Estate Taaes as
required by law and on the basis ihereof it has been ascertained ihe abo~e estate is not
subject to the Floreda Estate Tax. The issuance of tl~i• eertificate, however, ehalt not pre-
clud~_ _ti?~ assessment . and collection of Estate Taaes subsequentiy determined to be due the ~
State of Flnrida.
If
proof oi non liabi~ity by the abor•e estate for the Florida Estate Tax is required by :
,
any penon - t6i~ Certitieate n~ay be extiibitec~ as evidence of such non liabiliip.
Given in quadruplicate under my hand and the seal of the State of Florida the datc first
abo~ e writFen.
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Fxe~uti~•e Director
, Dep~rtment of Revenue
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Not valid without seal affi~ed.
s~i~3 390
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