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iOAY DR-302
STATE OF FLORIDA ~ -
DEPARTMENT OF REVENUE ~
~ ESTATE TAX BUREAU
TALLAH~155EE, FLORIDA 32304
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~e ~rs ~
J. ED BTRAUGHN NON-TAXABLE CERTIFICATE AND RECEIPT
tX[CYTIVE OIRECTOR FpR ESTATE TAX
TO:~rgaret L. Clark, Spouse
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c/o Mr. B. A. Bittan, Jr. C f~~!~1 ~
Attorney at Law
P.O. Box 309 Re: The Estate of
Fort Pierce, Florida 33450 Harold C. Clark, Sr. ~
Deceased.
Resident of S t. Luc ie
County, Flor ida
Date: March 9, 1972
$ 5. 00 ~0 Fee-~eceived : R ame
THIS IS TO CERTIFY, 1'}~at in accordance with the provisions of Chapter 198, Florida
' Statute~. tliere has been filed witli this office a sworn report or return for Estate Taxes as
~ required by law and on the basis tl~ereof it ha• been ascertained the above estate is not
subject to tl~c Florida Estate Tax. The is~uance of this certificate, however, shall not pre-
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~ clude the asse;s~nent and collection of E~tate Taxes subsequently determined to be due the
~ State of Florida.
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~ if proof of non liability by tlie above estate for the Florida Estate Tax is required by
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a S
~ any person ti~is Certificate may be exhibited as evidence of such non liability. t
n Gi~•en in quadruplicate under my hand and the seal of ihe State of Florida the date first
~
r above written.
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- .Y . ~ - - ~ 1~ ~
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~ ~ ; ~ ' ' ' Executive Director
= " ~ ~ ~ Department of Kevenue
- - " ' - , =TtlUC1E COUMTIRFLA~.
~ ' ~ ClE KCCi~CUIT OUAt ~
=r ' ~ - RECORO YERIFIEO ~
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Not valid without seal affiaed.
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