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FORM 6R-~02 ~ ~
STATE OF FLORIDA
DEPARTMENT OF REVENUE
~'a~ ESTATE TAX BUREAU ~s~~.
" ~ ~ TAI..LAHASSEE, FLORIDA 32304
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1. EOSTRAUGNN NON-TAXABLE CERTIFICATE AND RECEIPT
EtECUTrvE 01RECT(W FOR ESTATE TAX
TO•Helen Keshka Spouse -
c/o Mr. B. A. Bittan, Jr. C 91172
Attorney at Law
P.O. Box 309
Fort Pierce, Florida 33450 ~te: The Estste of Henry Behrens
Deceased.
Resident of St. Lucie
County, Florida -
~ jhte; Februarv 27.1973
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~ ,i $5 .00 Fee Received : same
' 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 subsequentiy determined to be
due the State of Florida.
If proof of non liability by the above estate for the Florida Estate Tax is :equired
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
date first above written . .
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Not valid withoui seal affixed .
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