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STATE OF FLORIDA
DEPARTMENT OF REVENUE
ESTATE TAX BUREAU
TALLAHASSEE. FLORIDA 3230d ~r1~S
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J. ED sTRAUGNN NON-TAXABLE CERTIFICATE AND RECEiPT
°"`"T"` FOR ESTATE TAX ~ ~
TO: ~
Mrs, Clara B. Haggard, Spouse
331 Johnston Street C 6 G 8 2 8
' Fort Pierce, Florida 33450 ~ !
Re: The Eatate of genry C. Haggard
Deceased.
; Resident of S t. Luc ie
i
~ Connty, Flor ida
' Date: January 6, 1972
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3 $5.00 -~-00 Fee Received: --~~e
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~ THIS IS TO CERTIFY, That in accordance with the pro~isions of Chapter 198, Florida
~ Statute5. there has been filed with this office a sworn repori or return for Estate Taxes as
~ required by law and on the basis thereof ii has been ascertained the above eseate is not
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~ subject to the Florida Estate Tax. The i~uance of this certificate, however, shall not pre-
~ elude the assessrnent and collection of Estate Taxea aubsequenily determined to be due the
~ State of Florida.
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~ If pmof of non liability by the above estate for the Florida Estate Tax is required by
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any per~on this Certificate may be exhibited as evidence of such non liability.
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Given in quadraplicate under my hand and the seal of the State of Florida the date first
~ above written.r .
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- `t . Executive Director
x'~ Department of Reve e
~ ~1E0 ANO fif COROEO
. ~ fT. LUC~E COUNTY FtA.
- ~ _ ' • ROCER POIFRAS
- - • • - ~ CtERK CtP,CUfT QOtlRT i
?r~ . . • RFCORD VE~I~tED..,~~ !
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~ Not valid without seal affiaed. ~18rJ5
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