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row oR-sat 2~Q~Ej"r FiLEO AMD RECOROEo _ ~
STATE OF FLORIDA ~ 51. luc~E COUMTr FLA-
- ' ROCER POITRAS {
~ DEPARTMENT OF REVENUE CIERK CIRCUit COURT ?
ESTATE TAX BUREAU RECORO VfRIF1E0 ; t.
TALLAHASSEE. FLORIDA 32304 ~)1 S PM i ~
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Eo sTRAUGNN NON T~IXABLE CERTIFICATE AND RECEIPT ~
"""T'"` FOR ESTATE TAX ~
TU;victoria Dearmas Lopea, Spousg ~
c% Mr. Robert 3'. Stampfl C~ 16 g 3 ~
~ttorney at La~r
39 S. 6th Street
~ialeah, Florida 3 3010 Re: The Estate of
John (Juan) A . Lopez
Deceased. ~
Resident of *+-a~ ~
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Colulty, Flc~rida ' ~
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Date: Jl'*~~° S~1QT1 ~
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=1.00 Fee Received:. ~
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~ THIS IS 'I`U-EERTIFY, That in accordance with the provisions of Chapter 198, Florida
Statntas. thert 6ae been filed with thia offi~e s sworn report or return for Estate Taaies aa
required by law and on the-- basis thereof it has been ascertained the above estate is not
subject to the Florida Estate Tax. The issuance of tl~is certificate, however, sl~all not pre- .
clude tl?e assessment and collection of Estate Taxes subsequently determined to be due the i
Staie of Florida.
If proof of non ~iability by the above estate for ihe Florida Estate Tax is reqtaired by f
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any person this Certifieate may be exliibited as evidence of such non liability. ~
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Given ia c~uadruplicate under my hand and the seal of the State of Florida the date first '
above written. =
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Not valid withont eeal affixrd. ~ s
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