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FORM OR. ~Ot
STATE OF FLORIDA `
DEPARTMENT OF REVENUE
ESTATE TAX BUREAU ~;~~f11ER & F~:qgjFR
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TALLAHASSEE, FLORIDA 32304 310 OENVEq AyENUF `
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Srv~Rr. F~pq~ow 33494
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l. EDSTRAUGHN NON-TAXABLE CERTlFICATE AND RECEIPT
ExECUT~vE WRECTOII
FOR ESTATE TAX
TO: i"~ e Frank Bashwiner
10 Sai2fish Lane
stuart, Florida A 12 0 9 6 Pp
Re : The Estate of Beatrice F. ~ 8ashwiner
AND R~~ ~ -
Deceaeed.
~ ROCE~ PO1SltAi
Spouse CLERK CtRC~~ ~~T
itECON~ ~ER~~~E~ Keaident of Marti n
~ 22 ~ ~7 ~ GDUDty, Florida
25'7383 ~te : NL'are~l~ 1 9~ 1 973
$5.00 Fee Received: March f,., i 9~~
TNIS IS TO CESTIFY, That in accordance with the provisions of Chapter 198,
Ftorida Statutes, there has been filed with this office a sworn 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, 9ha11 '
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~ not preclude the asseasment and coltection of Estate Taxes 9ubsequently determined to be
e due the State of Florida.
~ If proof of non liability by the above estate for the Florida Estate Tax is required
~
i by ar~y person this Certificate may be exhibited as evidence of such non liability.
F
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~ Given in quadruplicate under my hand and the seal of the. State of Fiorida the
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date first above written.
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~ Not vali~ without seai affixed . • - ~ ~ ~ ~
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~ 354 FAGE 541 7'~~%';~ ~1,! BOOK2~5 PACE~.85z
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