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FORM OR- 302 PAGE ~?U2 i~+~~
STATE OF FLORIDA •
' DEPARTMENT OF REVENUE
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~ o~ ESTATE TAX BUREAU
~ o TALLAHASSEE, FLORIDA 32304
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EOSTRAUGHN NON-TAXABLE CERTIFICATE AND RECEIPT
E~ECVnvE O~RECTQR
FQR ~STAT~ TA)C
TO:
Frank Brooks, Spouse
C 84219
c/o Mr. William L. Stewart
Attorneya ~aw
P. o. sox 806 Re : The' Estate of
Fort Myers, Florida 22902 Helen K. Brooks
/ Deceased .
v
Resident of Lee
County, Florida
Date: October 13,1972
$5 . 00 Fee Received : same
~ THIS IS TO CEftTIFY, That in accordance with ~he provisions of Chapter 198,
i Florida Statutes, there has been filed with this office a sworn report or return for Estate
~ TavP~ ~Q rPnnirPri hv law An~ ~n thP hacic thereof it has been ascertained the above 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 subsequently determined to be
~ due 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 uadru licate under m hand and the seal of the State of Florida the
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date first above written .
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~ ,.~,~,`9
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~ Executive Director
:s; Department of Kevenue
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; Not valid without seal affixed . ~ - ~ , ~ i ~ ~ ~ ~
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