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FORM pR- 302 ~ 23599
STATE OF FLORIDA
DEPARTMENT OF REVENUE
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_ o ESTATE TAX BUREAU s~. WCIE COuN~~ F~
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~ ~ TALLAHASSEE, FLORIDA 32304 CIERK CIRCUtT COUIIT
~ ° RECORO VERIF:EO
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J. EDSTRAUGHN NON-TAXABLE CERTIFICATE AND RECEIPT
ERECU~WE OiRECTOR
FOR ESTATE TAX ;~3~9g5 •
TO: -
Lucille L. Rae, spouse
C 81570
c% /Abstract and Title Corporation
t~alter E. David The Estate of
P. O. Box 3696 Donald C. Rae
Fort Pierce, Florida 33450 Deceased.Fla. prop. in St. Lucie Co.
Resident of __~~a=.~~~
County, Connecticut
Date• ~ugu~t Zl, ~°7Z-
$5 . 00 Fee Received same
THIS IS TO CERTIFY, 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 Florida Estate Tax . The issuance of this certificate, however, shall
not preclude the assessment and coilection 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 is required _
' by any person this Certificate may be exhibited as evidence of such non liability. i
' Given in quadruplicate under my hand and the seal of the State of Florida the
date first above written.
. ~
'~`~9
~ Executive Director
Department of Revenue
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Not valid without seal affixed .
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