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iORM pR- 702
STATE OF FLORIDA '
DEPARTMENT OF REVENUE
~ _ ESTATE TAX BUREAU ~~2~$0 ~
TALLAHASSEE, FLORIDA 32304
.
J. EOSTRAUGMN NON-TAXABLE CERTIFICATE AND RECEIPT ~
E~ECUTrvE O~RECTOI~ -
FOR ESTATE TAX
TO: Roberta Salvatore Spouse
c% Peninsular Title Insurance Co. A 12 5 8 5 PP
P.O. Box 3719
Fort Pierce, Florida 33450
Re : The Estate of grarilc p, salvatore
Deceased . ~
Resident of St. Lucie
County, - Florida
Date : April 12 . ~,973
- . $5.00 Fee Received: April 6, 1973
TH1S IS TO CEftTIFY, That ~n accordance with the provisions of Chapter 198,
F[orida Statutes, there has been filed with this offce a sworn report or retarn for Egtate
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 iasuance 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 quadrupticate under my hand and the seat of the State of Fiorida the -
date first above written.
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t~'= i'-•'~r^~' ~~:=~,:j• Executive Director
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' ~ Department of Revenue
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Not val~d without sea! affixed .
BOOK PAGE 2SZ1.SU
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