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" FORM OR- 302
~~A~T_ AF FLORIDA
DEP1~t~1~~N~' QF REYENUE
' , ± E`S"~'A'~E~'T'AX~~~UR~AU rZ+~~s
TAI.LAHASSEE. FL~OfZIDA 32304
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J.EDSTRAUGMN NON•TAXABLE CERTIFICATE AND RECEIPT
EXECUT~VE W~IECTOR FpR ESTATE TAX
•
T 'Fern I~ox, Spouse
C 76398
c% Citizens Federal Savings and Loan
p. o. sox 37 50 The Estate of
Fort Pierce, Florida 33450 William Knox
Decessed .
. Resident of St . Luc ie
County, Flor ida
Date : ~y 9, 1972
~ $5 . 00 Fee Received : 8~e
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~ THIS IS TO CEBTIFY, That in accordsnce with the provisiona of Chapter 198,
E Florida 3tatutes, there has been filed with this office a aworn report or return for Estate
Taxes as required by law and on the basis thereof it has been ascertsined the above estate
is not subject to the Florids Estate Tax . The issuance of thia certificate, however, shall
not preclude tt~e assesament and collection of Estate Tsxes subsequently deter~ained to be
due the State of Florida. +
If proof of non liability by the above eatste for the Florida Eatate Tax ia required
by any person this Certificate may be eahibited ae evidence of such non liability.
Given in quadrnplicate under my hand and the seal of the 3tate of Florids the
date firat ~ ~rritten .
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` : ~ • Executive Director
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Not vslid w?ithout sesl affixed .
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