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fORM OR- 3p2 ~~~~A^ '
U~ STATE OF FLORIDA '(I. FD FOF u ~
~ ECORD
DEPARTMENT OF REVENUE V!;; T;` r~/~~~` i~~ ft ~ ~
° ~ „ ESTATE TAX BUREAU {
~ ~ ~ TALLAHASSEE. FLORlDA 32304 ~R73 MAY Pp z; 32 °
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i.OUISE V.IgAACS
J. EDSTRAUGHN NON-T/4XA8LE CERTlFICATE AND RECEIPT r~ :ry; ~i~(jrt r
E7(EN7rvEU1RECTOR 1~~tIR1
FOR ESTATE TAX . ~
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TO:Norris J. Cooper Spouse
c/o O' Laughlin & O' Laughlin C 9 3 6 Z 2 ~
Attorneys at Law . g
P.O. Box 3405 +
Fort Pierce, Florida 33450 Re; The Estate of Gladys I. Caoper ~
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Deceased.
Resident of_ st. Luci _ ~
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County, Florida
DBte: A„cri 1 9~1973
$5 . 00 Fee Received : - -same
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 tiie basis thereof it .has been ascertained the above estate ~
is not subject to the Florida Estate Tax ..The issuance of this eertificate, however, shall ~
not preclude the assessment and collection of Estate Taxes subsequently determined to be
due the State of Florida.
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l LL., ~ Ti n.~}n a n~irna ~
if pr~of of non Iiaoiiity by the ~bc,vic estat~ ~~i !o~ ida ..Qta.,~ Tax mo r~.,~..a.... _
by any person this Certifcate may be exhibited as evidence of such non liability. s
Given in quadruplicate under my hand and the seal of the State of ~Fiorida the ~
date first above written. ~
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~ ~ • ~ Executive Director
t~ l:' ~ = Department of ftevenue ~
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_ : •,3.: ~ t:.;:~„ . . flt.EO ~±1~ REG3ROEi ~ ~
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' ' • ~ r ~ ~ ST.lNC?E C~t1Nr1l ~A. ~ ;
'-:..«•.~;~:r"_~'~~f, ROCci;:`Li'COURT ~ ~
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~ '~'/'~il ; f~ - ~ . Rf.CORi~ vEF.~F~ED~~~ • :
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- M~r I~ II 501~'73
Not valid without seal affixed. 37~~ 3SS PAGEi.i~.~ j
r, . 254~23
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