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~ORM UR- 302 24325~
STATE OF FLORIDA
DEPARTMENT OF REVENUE
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o~, ESTATE TAX BUREAU sT. ~uciE COUNtY FIA. ~
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~ ~ TALLAHASSEE, FLORIDA 32304 c~EQK c~= cu~z covRT
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J. EDSTRAUGHN NON-TAXABLE CERTIFICATE AND RECEIPT
E[£CV1~vE D~REC~OA
. FOR ESTATE TAX 2432S8
'i'O: Mr . Ra ymond C. Rober ts
Rt. # 3 Box 540-B •
Fort Pierce, Florida 33450 C 8 6 ~ 91 -
Re: The Estate of Nina M. Roberts
Decessed.
Heir at Law Resident of Ste Lucie
County, Florida
Date• November 15, 1972
$5 . 00 Fee fteceived : $ame
THIS IS TO GERTIFY, That in accordance with the provisions of Chapter 198,
~'lorida Statutes, there has been fied with this office a sworn report or return for Estate
Ta~es 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 cotlection 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
; b~~ any person this Certificate may be exhibited as evidence of such non liability.
' (~iven in quadruplicate under m}~ hand and the sea[ of the State of Florida the
~ date first above written.
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