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FORM OR-y?2 ~
STATE OF FLORIDA
DEPARTMENT OF REVENUE ~
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~ _ p~ ESTATE TAX BUREAU
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v TALLAHASSEE. FLORIDA 32304
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J. £OSTRAUGHN NON-TAXABLE CERTIFICATE AND RECEIPT _
E KECU7~vE CsRE«c~A
FOR ESTATE TAX
TO: Steven P. Alfoldy, Exec.
c/o Ms. Doris H. Coxe, Realtor A~ F~:~~ ~ PP
P. O. Box 282
Ft. Pierce, Florida 33450
Re: The Estate of Steven Alfoldy
Deceased. Fla. Prop. in St. Lucie Co.
Resident of Wa~nP
COUnty, Michigan
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$ 5. 00 $d~ Fee Received : Ma r~_6., ~ 9~ ~
THIS IS TO CERTIFY, That in accordance with the provisions of Chapter 198,
~ ~'lorida Statutes, there has been ~ied with this office a sworn report or return for ~:state
~ Taxes as required by law and on the basis thereof it has been ascc~tained the above estate
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~ is not subject to the Florida Estate Tax . The issuance ~f this eertificate, however, shal!
~ not preclude the assessment and collection of Estate Tax~s subsequently determined to be
~ due the State of Florida.
~
E If proof of non tiability by ,the abo~~e estate for the Flori~fa ~s#at~ Tax is required
~ by any person this Certificate may be exhibited as evidence r~f ~ueh noh !iability.
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f t:iven in quadruplirate under my hand and the sc~al of the State of Florida the
~ date first abo~e written.
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- ` = ~ ~ ~.xecutive Director
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i ~.~j~ T ~ ~ ~ 84i~i~ vAt;t ~E15~
' Not valid without seai affixed .
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