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FORM OR- 302 . ~
STATE OF FLORIDA
DEPARTMENT OF REVENUE .
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ESTATE TAX BUREAU
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TALLAHASSEE. FLORIDA 32304
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J. EDSTRAUGHH NON-TAXABLE CERTiFiCATE AND RECEIPT
E7[ECLTIVE D1qECTOR FOR ESTATE TAX -
TO: Effie F. Smith Spouse
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c/o Mr. Charles E. Becht C g 9 6 81 ~
Attorney at Law
P.O. Box 548
FOrt Pierce, Florida 33450 Re: The Estate of John N. Smith .
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Deceased . . _
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Resident of r. e s
County , Florida
j)gte- `7anuar~ 29,1973 S
' $5 . 00 Fee Received : ~~me ~
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i THIS IS TO CEftTIFY, That in accordance with the provisions of Chapter 198, '
~ Flarida Statutes, there has been filed with this o~ce a sworn report or return for Estate
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~ 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 ~
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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. f
Given in quadruplicate under my hand and the seal of the State of Florida the =
date first .abo ~i?it~YleD;s.
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Not valid without seal affixed .
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