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7 8 3~~ STATE OF FLORIDA tt{CIE C
DEPARTMENT OF REVENUE IIOCER PQI ~ `
CLERK CIRCUIT
ESTATE TAX BUREAU RECORD YERiF1E0~.,:,;~
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TALLANASSE6, F10RIDA 32~4 ~ ~ Q
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. . . 229696
J. ED ~QN~ ~'4,~,eB~E ~'-~TlFl~ATE A~lD R~ElPT ~ ~
°~""T°" FOR ESTATE TAX
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TO: Albert J. Crocoll, Exec. ~
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c% Mr . Quentin v. Lonq - C~T 2 J C~
Attorney at Law ~ ~
SO1 E. 8allandale Beach, Blvd. Re: 1`he Estate of
H~llandale, Florida 33009 Elizabeth~Crp~oll~•:
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Deceased. °
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Resident of Broward ~ '
Connty, Flor ida
Date: i~i~rch i~, 1972
' same
~ $ 5 . 00 ~~~Fee Received:
I
~ THIS IS TO CERTIFY, That in accordance with the provisions of Chapter 198, Florida
f Statutes, there has been filed with this office a sworn report or retnrn for Estate Taxes as
~ required by law and on the baais thereof it has been ascertained the above estate is not
snbject to the Florida Estate Tax. The issuance of thia certificate, however, shall not pre-
clude the assessment and collection of Estate Taxes sub~equently determined to be due the
State of Florida.
If proof of non liability by the above estate for the Florida Estate Tax is required by
any person this Certificate may be exhibited as evidence of such non liability.
Civen in qnadrnplicate under my hand and the seal of t6e State of Florida the date firat
above writtt~--'= : '
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• QIIENTIN V. LON(~ ~a~' o~ut ~f''~'R -s I~gBR
Not vatid withont Beal affixed. 801 E. Hallandale Beach Blvd.
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Hallandale~ Florida 33009 ~ ~i a~ M~~ ~
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