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. _ STATE OF FLORIDA ~
~ - ~ DEPARTMENT OF REVENUE
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• o~, ESTATE TAX BUREAU ~
~ ~ TALLAHASSEE, FLORIDA 32304 ~ ~v
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J. EO STpAUGHN
NON-TAXABLE CERTIFICATE AND RECEIPT ~ N
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EiECU~~YE DiRECTpR q ~
FOR ESTATE TAX ~
TO: Lillian Moore, Exec.
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c/o . Mr. William M. Seldine C 8 3 7 8 4 0 ~
Certified Public Accountant ~ i
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6011 Rociman Street Re : The Estate of Franc is X. "Moore =
Hollywood. Florida 33023
Deceased .
~ f LEO AND RECOROEO Broward
- s~.~uc~E couH~r f~a. ~sident of
P.GG: : P4~TRAS - ~
Cl.ERK C~tCltiT COURT ~ ?
: - v~'~,<<;EO-:=~unty, Florida ~ ~
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~ ~ ~ 03 ~ ~~~te • October 5. 1972
241635 $5 . oo Fee Received : ~same
T~II~- TO CERTIFY, That in accordance with the provisions of Chapter 198,
F'lorida Statutes, there has been filed with this office a sworn report or return for Estate `
Z'axes as required by IaN and on the basis thereof it has been ascertained the above estate
is not subject to the Florida Estate Tax . The issuance of this certificate, however, shall
not preclude the assessment and collection of Estate Taxes subsequently determined to be
d~e the State of Florida. .
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If proof of non liability by the above estate for the Florida Estate Tax~ is required
b~• any person this Certificate may be exhibited as evidence of such non liability.
Given in quadruplicate under my hand and the seal of the State of Florida the
date first above written.
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- Executive Director
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Yot valid without seal affixed . . O~ Z 6. 0. R. B~~~PP~~~~JQ ~~~~~ErL ~
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Filed and rtcor~rQ_---^- .
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Record and return to:
REASBECK AND FEGERS, P. A.
6011 Rodman Street ~Q~~~$ ~
HolLywood, Florida 33023 . 1~
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