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FORM OR- 302
STATE OF FLORIDA . ' ~ .
DEPARTMENT OF REVENUE
ESTATE TAX BUREAU ~33~'49
' TALLAHASSEE. FLORI~A 32304
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J. ED STRAUGMW NON - TAXABLE Cf RTIFICATE AND RECEI PT
E7(ECUTIVE OINERQR FOR ESTATE TAX - ~
TO:
117 RSy 16thrStreet~ A ~ g~ 6 0 Pp ~
Ft. Pierce, Florida 33450 ~
Ke : The Estate of Ray M. Orem Sr .
Heir-at-law Decessed .
Resident of S=. Lue~Q ~
County, .~loricL~
Date• ~ July 18, 1972
, $5.00 --~,00 Fee fteceived:_ July 6, 1972
~ THIS IS TO CEftTIFY, That in accordance with the .provisions of Chapter 198,
Florida Statutes, there has been filed with this office a sworn report or return for Estate
Taxes as required by law and on the basis thereof it has been ascertained the above estate
is not subject to the Floritla Estate Tax . The issuance of this certificate, however, shall
not preclude the assessment and collection of Estate Taxea subsequentiy determined to be
due the State o~ Florida. - -
If proof of non liability by the above eatate for the Florida Estate Tax is required
by any person this Certificate may be exhibited as evidence of such non liability.
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Given in quadruplicate~ under my hand and the seal of the State of Florida the
date first above written. .
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. ~;:~,a~:• ~ ~r ~ Executive Director
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Not valid without seal affixed .
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600K
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