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r«. oR•~ STATE OF FLORIOA
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DEPARTMENT OF REVENUE 25~50
ESTATE TAX BUREAU
TALLAHASSEE. FLORIDA 323Q4
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NON-TAXABLE CERTIFICATE AND RECEIPT
Eo SMAUOMN FOR ESTATE TAX ~
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TO: Eva R. Miller Spouse C90275
c/o Bryan & Koblegard
Attorneys at Law
133 South Second St.
P.O. Box 3230
Fort Pierce, Florida 33450 Re. The Eetate of William M. Miller
25285~ Deceased.
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Date: Fc~hr»ar=s R' 197~
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$5 . OO~~pO Fee Received: Sa~
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THIS IS TO CER'TIFY, That in accordance with the provieions of CLapter 198, Florida
6tatntes, there has been filed with this office a swom report ar return for Estate Taxea as
required by law and on the basis thereof it has been ascertained the above e~tate ia not sub•
ject to the Florida Eetate Tax. - The issuance of this certificate, however, sLall not preclude the
assessment and collection of Estate Taxes subseqnently determined to be dne the State of Florida. ~
If pmof of non liability by the above estate for the Florida Estate Taa is required by any
person thie Certificate may be eahibited as evidence of snch non liability.
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Given in quadruplicate nnder my hand and seal of the State of Florida the date first above
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• Ezecntive Director
Department of Revenne
Not valid withont seal affixed.
~ I AEREBY CERTIFY under authority of Section 17.25, Florida Statntes, that the above
~ is a trae and correct copy as it appears from the records of this office.
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~ IN WITNESS WHEREOF, I have hereunto set my hand and tLe seal of the State of Florida '
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~ thie ~.5. day of j~Tril , A.D. 19_T3.
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( SEAL) .
Chief, Eatate Taz B
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