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FORM DR- 302
STATE OF FLORIDA ~
DEPARTMENT OF REVENUE
° ~ 5 ESTATE TAX BUREAU +~S3O$Q
~ TALLAHASSEE. FLORIDA 32304
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J. ED STRAUGHN NON •TAXABLE CERTIFICATE AND RECEIPT
EXECUTIVE DIRECTOR
FOR ESTATE TAX ~
TO• Rose V.~ Elliott Spouse
~io Robert M. L1oyd, Atty. C 9 4141
P.O. Box 1270
Fort Pierce, FL 33450
Re: The Estate of RichaY'd J. Elliott -
Deceased.
IZesident of st_ T.t~~; p
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COtlii~y, Florida
DStC: Anril 77~1973
$5 . 00 Fee fteceived : _s~p
THIS IS TO CEftTIFY, That in accordance with the provisions of Chapter 198,
Florida Statutes, there has been ~ted with this o~ce 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 subsequently determined to be
due the State of Florida. ;
,
Tf 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 Iiability. ~
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Given in quadruplicate under my hand and the seal of the State of Florida the
date f
rs~-=above written . ~
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R . ' ~ : Executive Director
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. ` ' Department of ftevenue
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f LEO ANO MECpRO~D #
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ROCE%~ Y3ITRAS '
' -~t~ ~ ~ ~ CLERK Ci;:CUtT CQUAT ~ ~
_ - REC~RDVER+;IED„~.~
_ Ant tl !0 Za A!I'73 ~
Not valid without seal affixed .
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