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FORM OR-~02 •
STATE OF FLORIDA
DEPARTMENT OF REVENUE
ESTATE TAX BUREAU
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TALLAHASSEE. FLORIDA 32304
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J. EDSTRAUGHH NON-TAXABLE CERTIFICATE AND RECEIPT
EAECUT~VE DIRECTON FOR ESTATE TAX
TO:Lillian B. Fugate Heir at Law
c/o Mr. Charles R. P. Brown C 9 2 7 I 5
Attorney at Law ~
301 South Sixth Street
. Fort Pierce, Florida 33450 Re: The Estate of Benjamin F. Fugate
~Deceased. Fla. Prop. in St. Lucie
Resident of Clay
County, Indiana
Date • ~ March 2 6,19 7 3
$5 . 00 Fee Received : S~e
THIS IS TO CEftTIFY, 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
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~ 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 .
~ date first above written.
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_ Executive Director.
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