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~ORM OR- 302 ~
STATE OF FLORIDA
DEPARTMENT OF REVENUE
o`~ S~F
o„ ESTATE TAX BUREAU
~ TALLAHASSEE, FLORIDA 32304
~ , • ~o
1 EDSTRAUGMN NON-TAXABLE CERTIFICATE AND RECEIPT
E~E~:~i~~E D~RECTOA
FOR ESTATE TAX
TO: Edith M. Tracy, Spouse
c/o Mr . Harry F. Dyer p n~ 7~ r~ pp
,
Attorney at Law
P.O. Box 477
Stuart, Florida 33494 Re: The Estate of ~`„iell B. Tracy
Deceased.
Resident of St . Lucie
Coulity, Florida
I)ate: November 17, 1971
$4.00 November 17, 19 1
$ l. 00 Fee Received : September 2, 1970
` $5.00
f THIS IS TO CF.RTIFY, That in accordance with the provisions of Chapter 198,
: ~'lorida Statutes, there has been filed with this office a sworn report or return for F,state
f
Ta~es as required by law and on the basis thereof et has been ascertained the above estate
; is not subject to the Florida Estate Tax. The issuance of this certificate, however, shall
~ not preclude the assessment and collection of Estate Taxes subsequentiy determined to be
~ due the State of Florida. .
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E If proof of non liability by the above estate for the Fiorida F,state Taa is required
~ b~ any person this ('ertificate may be exhibited as evidence of such non liabilit~ .
~
~ (~iven in quadruplicate under my hand and the seal of the State of Fiorida the
; date fiTSt above written.
~ . ~
~~C
- 1 Executive Director
~ Department of Revenue
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~ Not valid without seal affixed .
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