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FORM OR-~2 ~
STATE OF FLORIDA
DEPARTMENT OF REVENUE
_ ESTATE TAX BUREAU ~'w
1 ~ TALLAHASSEE. FLORIDA 32304
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J- EDSTRAUGMN NON-TAXABLE CERTIFICATE AND RECEIPT
E1lECUT~YE O~R(tTOR F~R ESTATE TA?X
TO• Sue T. Corvin Spouse
% Peninsular Title Insurance Co. A 13 0 9 9 pP
P.O. Box 3719
Fort Pierce, FL 33450
- Re : The Estate of Boris Corvin
Deceaeed.Fla. prop. in St. Lucie Co.
Resident of _ na~;
COqtlty, North Carolina -
DBte: ~ May 14,~ 1973
$5.00 ~ee Received : ~y 3, 1973
THIS IS TO CEftTIFY, That in accordance with the provisiona 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 haa been ascertained the above estate
is not subject to the Florida Eatate Tax . The issuance of this certificate, however, shall
not preclude the assessment and collection of Eatate Taxea subsequently determined to be ~
due the State of Florida.
If proof of non liability by the above eatate for the Florida Eatate 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 Ftorida the
date first aboy~ written.
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