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~ STATE OF FLORIDA ~
DEPARTMENT OF REVENUE • ~ ~
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o~ ESTATE TAX BUREAU =T. Wc+E ca~fiir
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~ ' ~ TALLAHASSEE, FLORIDA 32304 ~
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J. EOSTRAUGHN NON-TAXABLE CERTIFICATE AND RECEIPT
ERECUT~VF D~REC70Q
FOR ESTATE TAX 24U800
TO: Alice M. Burney Petit.
c% George S. Okell, Sr . ~ C 8 4 4 4 6
Attorneyat Law
1392 N.W. 36th Street
Miami, Florida 33142 R,e: The Estate of Zackery M. Crumpler
Deceased.
ftesident of Gt ta~~~ e
County, Fi o ;~a
Date : [~r~tnhPr ~ 8,1972
$5 . 00 Fee fteceived : s mp
~i THIS IS TO C~:RTIFY, That in accordance with the provisions of Chapter 198,
~ I~'lorida Statutes, there has been filed with this uffice a sworn report or return for Estate
E Taxes as required by law and on the basis thereof it has been ascertained the above estate
r 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 Gertificate may be exhibited as evidence of such non liability.
(~iven 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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: :i : ~ ~ j . ~ ^ ~ Department of ftevenue
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Not valid without s~~al affixed .
_ ~ 207 ~ ~~158
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