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fORM DR• ~02 ~
~ STATE OF FLORIDA
DEPARTMENT OF REVENUE f.•~ ~
, S~''t'o~, ; ESTATE TAX BUREAU - ~
~ TALLAHASSEE. FI.ORIDA 32304
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J. EDSTRAUGHN NON-TAXABLE CERTIFICATE ANQ~~tEC~'T~ ; ~
ExECU7WE OIRECTOR FOR ESTATE TAX ~
TO: Rosalie iostanz~, Exec. ~
Lio ~-._.x~~r~ra H. Ro~n A 08014 PP
~+t~ti~r.2E'}' at I,c1w
l~ E.~ t 1.an t ic B i~~d . Re • The Estate of ~
~~1•t~~anc; Af~~c';, Florida % ' Peter S, Costanz~~
i?,~~„~ no re~ t estate
Decessed.
Resident of ~3rowara
County, F lor ida
Date • Ju ly 17 , 1 U'? 2
. ~Q -~:e0 Fee Received: ~'~uqust il. 19~1
THIS IS TO CEftTIFY, That in accordance with the provisions of Chapter 198,
F'lorida Statutes, there has been filed with this office a sworn report or return for Estate
Taxes as required by law and on the basis thereof it has been ascertained the abo~t~ 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 lisi~ility.
Given 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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~ : ir,~ Department of Revenue
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- RECOkO VERIftED~,..w*,.~.•~
Not valid without seal affiged. ~~~T Y~ b ~6 ~'~2
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