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FORM OR-302 ~~V~
STATE OF FLORIDA , v
DEPARTMENT OF REVENUE F ~~p 4rt KF~~apEO
ESTATE TAX BUREAU s"~.~uc~c ~:4MYY i~~?.
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TALLAHASSEE, FLORtOA 32304 c~EaR t+ COUaT r
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l-EOSTRAUGHN NON-TAXABLE CERTlFICATE aND RECEIPT ~ ~
EiECUTWE O~RECIOR FOR ESTATE TAX ~569~8 _
TO: Lilian D. Heesemann Spouse C(,~ 7 2 21
c/o George W. Sommer, Atty. '
P.O. Box 2210
Stuart, FL 33494 The Estate of
Henry F. Heesemann ~
Deceased . _
Resident of St. Lucie ;
• County, Florida i
Date• June 12, 1973 _ ~
$ 5. 0 0 ~r-pa-Fee fteceived : same
THIS IS TO CERTIFY, 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 Iaw and on the basia 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.
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; If proof of non liability by the above estate for the Florida Estate Tax is required
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' by any peraon 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 above written .
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~ =r = n. ~ - _ Executive Director
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~ : ° ~ Department of Revenue
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Not vslid w?ithout seal affixed . ~ k ,
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