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~ORM OR- 302
STATE OF FLORIDA
DEPARTMENT OF REVENUE
W~~~~` S~~'~~ ESTATE TAX BUREAU
~ TALLAHASSEE, FLORI~A 32304
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J EDSTRAUGHN NON-TAXABLE CERTIFICATE AND RECEIPT -
E~E[u~ivE O~NEC7ilN FOR ESTATE TAX
TO: Ruth Peskin Karlin Exec.
c/o Mr . Charles R. P. Brown C S 7 3 S~
Attorney at Law
P.O. Box 1418
Fort Pierce, Florida 33450 Re: The Estate of Solomon S. (Sam) Karlin
Deceased. ;
Resident of St. Lucie
County, Florida
` vate• December 12,1972
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~ . UO Fee Received : Same
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~ THIS IS TO CERTIFY, That in accordance with the provisions of..Chapter 19R,
~ I~'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~~e estate
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° is not subject to the Florida Estate Tax . The issuance of this certificate, however, shall
~ not preclude the assessment and collection of Estate Taxes subsequentl-y determined to be
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~ due the State of Florida.
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~ If proof of non liability b~ the above estate for the Florida Estate Tax is required
~ by an~~ person this Certificate may be exhibited as e~ idence of such non liability .
~ Given in quadruplicate under my hand and the seal of the State of Florida the
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~ date first above written .
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- z'' ~ - - Executive Director
- ' ~ De artment of Revenue
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~ tiot valid without seal affixed .
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