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FORM DR- 302 `~O_ `Q~
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STATE OF FLORIDA
DEPARTMENT OF REVENUE
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° _,~'o,~ ESTATE TAX BUREAU
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J. EOSTRAUGHN NON-TAXABLE CERTIFICATE AND RECEIPT
ExEtuT1YE DIRECTOR
FOR ESTATE TAX
TO: Grace M. Peter,on Plumstead Spouse
c% Abstract & Title Corp. C 8 4 6~ 4
P.O. Box 3696
Fort Pierce, Florida 33450 The Estate of Edward C. Peterson
Deceased.
Resident of Palm Beach
County, Florida
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Date : October 20 , 1972 _
$5 .00 Fee Received : same
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THIS IS TO CERTIFY, That in accordance with the provisions of Chapter 198,
t Florida Statutes, there has been filed with this office a sworn report or return for Estate
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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 collection of Estate Taxes subsequently determined to be
due the State of Florida.
If proof of non liability by the above estate for. the Ftorida 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 Ftorida the
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date first above .v~~~~ten,: ,
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, `t.^•. . . - . ;~',-•A . --;'j~:i''' ij1.E AN9 RECTYAfIA.
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' • ' • - ` " ' OCEA P01?RAS
4 ' ~ ~a = CL~RK CIRCUIT COURT
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Not- valid without seal affixed . ~ r~
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