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FORM DR- 302 ,
STATE OF FLORIDA
DEPARTMENT OF REVENUE
of t~ st,~
f
o~ ESTATE TAX BUREAIi
~ ' o TALLAHASSEE, FLORIDA 32304
2~'~322
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J. EO STRAUGMN NON -TAXABLE CERTIFICATE AND RECEIPT
E[ECUTIVE D~RECipit FOR ESTATE TAX
TO: ~
C~8537
fte : The Estate of .
Deceased.
Resident of
County,
Date • -
i
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; $5 .00 Fee Received :
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i THIS IS TO CERTIFY, That in accordance with the provisions of Chapter 198,
~ Florida 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 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
~ 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 liability.
~ Given in quadruplicate under my hand and the seal of the State of Florida the
I -
date first above written .
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• - ~ Executive Director -
~ . ~ ~ ~ ~ ' ~ Department of Revern~o an~~ ~iECUROED
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` = ~ St.IUCfE ~~UNTY FLA.
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Not valid without seal affixed . %~4~322
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