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FORM DR • 302 v~ V~
STATE OF FLORIDA
DEPARTMENT OF' REVENUE
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_ o~ ESTATE TAX BUREAU
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~ TALLAHASSEE, FLORIDA 32304
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J. EDSTRAUGNN ~~~_j,t~,4g~.~ ~~~T1~=CAT€ AND RECElPT
E%ECU7WE DIRECTOR
FOR ESTATE TAX
TO• Max Schachtsiek Spouse' ~
c% Abstract & Title Corp. C 8 4 6 5 0
P.O. Box 3696
Fort Pierce, Florida 33450
24Q694 Re : The Estate of Dorothea Schachts iek
FILED aNp RECOROEO DCCease(1.
ST. ROCfRC
O~itRAS ~A~ Resident of
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CIERIC CtRCUIT COURt ` ~
RECOR~ yEP,If1ED
County, ~~~r~~~
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~ THIS IS TO CERTIFY, That in accordance'with the provisions of Chapter 198,
f ~'lurida Statutes, there has been filed with this office a sworn report or return for Estate
~ Taaes 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 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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~ , ' -5~` ' Executive Director
~ - . f - Department of ftevenue
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