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FORM OR-302 „
STATE OF FLORIDA ~
DEPARTMENT OF REVENUE
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ESTATE TAX BUREAU r~
~ 'Y' TALLAHASSEE. FLORIDA 32304 ~ `~1
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J. ED STRAUGHN NON -TAXABLE CERTIFICATE AND R~CEIPT ~
Elt£CUTIVE D~REROR
FOR ESTATE- TAX .
TO:
Virginia Dare Hilson, Spouse
Route 4, BoX 50o A 0 5 7 3 8 PP
Fort Pierce, Florida 33450
Re : The Estate of Jack xilson
~ Deceased . ~
Resident of st _ r„~; p -
County, Flori da ~
DBtC • ~tarr~]3 ~T.~ 7 97~
$5 . 00 ~ Fee Received : [~c~t nhp~r i i' ~ 9~ ~
~ THIS IS TO CERTIFY, That in accordance with the provisions of Chapter 198,
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~ ~lorida Statutes, there has been filed with this o~ce a sworn 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 estate '
is not subject to the Florida Estate Tax. The issuance" of this certificate, however, shall
not preclude the assesament and collection of Estate Taxes subsequently determined to be
due the State of Florida.
If proof of non liability by the above estate for the Florida Estate Tax ia required ~
by any person this Certificate may be exhibited as evidence of such non liability . ~
Given in quadruplicate under my hand and tihe seal of the State of Florida the
date first above ~v_r-it~en.
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~ ~ ~ . Executive Director ,
~ . Department of Revenue ~?,,?~b'7s1
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~~~r;•,,• - _ ~ECORO YERtf1ED
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Not valid Rithout seal affiaed . ~ .
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