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STATE OF FLORiDA ~
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DEPARTMENT Of' REVENUE ~ , . . '
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f o„ ESTATE TAX BUREl1U
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J. EOSTRAUGMN ~ NON-TAXABLE CERTIFICATE AND RECEIPT
E7l[NTrvE O~RECTOq .
FOR ESTATE TAX
i TO: Marie Walker, Exec.
' ~ C76861
~ c% Mr. Willard Ayres ,
~ Attorney at Law
P.O. Box 1148 Re : The ~:state of
! Ocala, Florida 32670 Ann R. Erickson
~ Deceased.
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~ Resident of Mar ion
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. County, Florida '
Date • ria~ 17 , 197 2 •
$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 of~ce a sworn report or retur» for H:state
Taxes as required by law and on the basis thercof it has bcen asccrtained the abovic estate'
is not subject to the Florida Estate Tax._ The issuance of this certificate, how~ever, shall ~
~ not preclude the assessment and collection of F.state Taaes subsequently determined to be
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~ due the State of Florida.
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~ If proof of non liability by the above estate for the Fiorida 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 ~he seal of the State of I~'lorida the '
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~ date first above written.
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Not valid without seal affixed .
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. ado~206 P~~1864
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