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FORM OR.302 ~34820 ~
STATE OF FLORIDA '
DEPARTMENT OF REVENUE ~
° ~ ESTATE TAX BUREAU ~
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~ s TALLAHASSEE. FLORIDA 32304
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J. EDSTRAUGlfN NON-TAXABLE CERTIFICATE AND RECEIPT
E%ECUT~VE p~RECTOR FpR ESTATE TAX
TO: polly Brew~er, Spouse ~
c% Mr . Jack L. Rogers C 7 8 8 9 3
Atto ney at Law `
P.O. Box 4352 Re: The Estate of
Fort Pierce, Florida 3~450 Donald G. Brewer
- Deceased.
Resident of
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County, Florida
Date : June 28 , 197 2
$5 . 00 Fee Received : ~samrs '
THIS IS TO CEftTIFY, That in accordance with the provisions of Chapter 198, ~
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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 Florida Estate Tax . The issuance of this certificate, however, shall
not preclude the assessment and coIlection of Estate Taxes subsequentty determined to be
due the State of Florida.
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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.
Given in quadruplicate under my hand and the seal of the State of Florida the
date first above written. ~
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• ~ Executive Director • ~
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Department of Revenue
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1_{' ' , _ , f1~ED AMD RECQ,gfl~ `
- ` iT.111C1E COUN~~ -
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- . - _ RECORD E
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Not vaiid without seai affixed . ~~o~~~ ~
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