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FORM OR- ~OS ~
F ~EO ,?~o REC:oapE
,y~ STATE OF FI.QRIDA g~, ~UCIE COUMTY fL
~+i~~DEPARTMENT OF REVENUE ROGE~ PQ~TIUS
ClER1c CiRCU11 COUQT
ESTATE TAX 9UREAU AECORO VERIf1E~
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r TALLAHASSEE, FLORIDA 32304 9 29 ~~T'
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J. EO STRAUGMN NON -TAXABLE CERTlFICATE AND RECEIPT
c~ccu*rvc o~wccro~
FOR ESTATE TAX
TO: Fl~yd A. Lamont, Spouse
c/o Abstract & Title Corporation A 0 2 6 31 PP
~ P.O. Hox 3696
Fort Pierce, Florida 33450
Re: The Estate of Selma L. LaMont
Deceased. ~
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Resident of ~t_ ?»cic~
CpUnty, _ ~ Florida
Dgt@ : SP~t _mher 22 ~ 1971 i
$5.00 ~ Fee Received: Sppt~~int~er 9~ ~9~~
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i THIS IS TO CERTIFY, That in accordance with the proviaions of Chapter 198,
~ Florida Statutes, there has been filed with this office a aworn report or return for Estate
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~ Taxes as required by law and on the basis thereof it has been ascertained the above eatate
~ is not subject to the Florida Estate Tax . The issuance of this certificate, however, shali ,
not preclude the assessment and collection of Estste Taxes subsequently determined to be
due the State of Florida.
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If proof of non liability by the above estate for the Florida Estate Tax is required
by any person this Certificate may be exhibited as evidence of such non liability.
Given in qusdruplicate under my hand and the seal of the State of Florids the
date first s6ove ~ritten.
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~ • - - Execut~ve Director
~ ` . Department of R,evenue
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Not valid without seal sffiaed .
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~ ~i~5 ~2460
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