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FORM DR- 302 \ / . '
STATE OF FLORIDA
DEPARTMENT OF REVENUE ~
5~~'~~ ESTATE TAX BUREAU 241215
~ ~ ~ TALLAHASSEE, FLORIDA 32304
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, EoSTR~~~~N ~ NON-TAXABLE CERTIFICATE AND RECEIPT
EhECVT~YE DiRECiOFt
FOR ESTATE TAX -
TO: ~
Ruth K. Davis Demorest, Spouse
C 82690
c/o Abstract and litle Corp.
P.o. Box 3696 R~: The Estate of
Fort Pierce, Florida 33450 Coleman F. Dav-is
Deceased.
St . Luc ie
Resident of
County, Florida
,
Date' September 14, 1972
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$5 .00 Fee Received : same
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~ THIS IS TO CERTIFY, That in accordance with the provisions of Chapter 198,
~ Florida Statutes, there has been ~fited ~with this of~c~ 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 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 -i~i,~quadruplicate under my hand and the seai of the State of Florida the
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date first ~#tbove-'~t~te~-.
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`~~i i~L''.~:s ~ .r~' Executive Director
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~ ; ~_;.-1ii~.~l<¢_~ : v~ Department of ftevenue '
fiLEO nNO aECOR~EO
- . . ST. WCIE GOUMTY FIA. `
%~-n ,r ' ROGEk POITRAS
~s CIERK C?°CU11 COURT
, ~ ~hr;4~1 ~ . ~ RECOR~ VEN~FIE~
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Not valid without seal affixed . ~L~ ~~~M~ ~~~15
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