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~ STATE OF FLORIDA `~11~41
DEPARTMENT OF REVENUE
ESTATE TAX BUREAU ~ ~
TALLAHASSEE~ FLORIDA 32304 '
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J. ED n~?~aKN NON TAXABLE CERTlFICATE AND ttECEIPT
°'""`°R FOR ESTATE TAX
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TO: Consuelo Fuentes, Spouse
c% Mr. w. x. coxe C 6~ 711
Realtor
P. O. Box 282 ~
Fort Pierce, Florida 33450 Re: The Estate of
Carlos Fuentes
t lE0 ANO RECp4QE Deceased
i~. ~1{CIE CO{INTY i~ .
CLtR~K
C R'a
~T Resident of Dade
~~f~~ Flor ida
.J~ 8 II ~ AK'~t Co~n~,
211~41 pate~ J ul v 6, 1 9 7 1
~ =1.00 Fee Received: S~e
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~ THIS IS TO CERTIFY, That in acoordance with the provisions of~ Chapter 198, Florida ~
Statutea. tl~ere has been filed wit}i this office a sworn report or return for Estate Taxes as
-required by law and on the basis thereof it has been ascertained tlie above estate is not
subject to the Florida Estate Tax. The issuance of this certifi~.ate, however, shall not pre-
clude the assesament and collection of Estate Tazea subsequently detennined to be due the `
State of Florida.
If proof of non liability by the above estate for the Florida Estate Tax is required by
any per~on this Certificate inay be exhibited as evidence of sucli non liability.
Given in quadruplicate under my hand and the seal of d~e State of Florida d~e date first
above written.
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- ~ - _ Fxe~cutive Director
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~ De~artment of Revenue
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Not valid without seal affixed. +
g~QK 193 2354 ~