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FORM OR- 702
STATE OF FLORIDA .
DEPARTMENT OF REVENUE 25~8~y
ESTATE TAX BUREAU
" ~ ' TALLAHASSEE. FLORIDA 32304
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J. EDSTRAUGHN NON-TAXABLE CERTIFICATE AND RECEIPT
E7[EN~1VE OIREROR FpR ESTATE TAX ~ ~
TO:Edward W. 2iesing. Spouse
c/o O"Laughlin & O' Laughlin, Attys . - C 9 5 8 9 9 .
P.O. Box 3405
Fort Pierce, FL 33450 ;
Ite: The Estate of Rose C. Ziesing ,
z~$~ Deceased .
ST
IUCtE COUNTY FLA. Resident of .~G~ - T•L1C3,.Q
RUCER POtTRAS .
CLERK Ct=CU~T CQURT '
°ECO~(I V=Pt~!EO~~~~ ('~OUlltj?~ Flnri~jg !
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M~r 11 10 41 AH '73 n~te : ~~=1~-. l 3
` ,a`~" ~ $5 . 00 Fee Received : ~~a~~
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~ THIS IS TO CEftTIFY, That in accordance with the provisions of Chapter 198,
Florida Statutes, there has been filed with this office a aworn 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.
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 quadruplicate under my hand and the seal of the State of Florida the ;
date first above written.
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~ . ~ ` - Executive Director
- • _ ~ • . : - _ - Department of Revenue
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Not valid wittia~;seal affixed .
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