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FORM DR- 302
STATE OF FLORIDA
DEPARTMENT.OF REVENUE
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___fo,~. ESTATE TAX BUREAU 24~y~ys~r
~ o TALLAHASSEE. FLORIDA 32304 ~ ~
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J. EDSTRAUGNN NON-TAXABLE CERTIFICATE AND RECEIPT
E~ENTiYE DiBECTOR
FOR ESTATE TAX
TO: Charlotte Anne Crossley Spouse
c% Peninsular Title Insurance Coe A 1 Q q~ t~ PP
P.O. Box 3719
Fort Pierce, Florida 33450
Re: The Estate of Frank Crossley
Deceased. Fla, prop. in St. Lucie Co.
Resident of gi 1 7 chnrn
C.OUIItJ~, Nnw Ham= ahire
Date⢠~T~nuarT.~~ 19_.73
$ 5 0 00 Fee Received : JcZt1u~
rT 9~ 197'~
~ THIS IS TO CERTIFY, That in accordance with the provisions of Chapter 198,
i Florida Statutes, there has been filed with this office a sworn report or return for Fstate
~ Taxes as required by law and on the basis 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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4 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 .
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- (~iven in quadruplicate under my hand and the seal of the State of Florida the
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£ date first above w ritten .
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~ Not valid without seal affixed. ~~fs2
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