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FORM - 603 STATE OF FLORIDA T ~`~'~2?i~s
DEPARTMENT OF REVENUE
Certificate of Waiver and Release of Florida Estate Tax Lien
Estate of Residence at time of Death Date of Death
Jack L. Rogers Florida 2-15-73
TO: ~T~me a~~ address of Applicant
Mr. Wzlliam F. Wi es, ty.
P.O.Box 309
Ft. Pierce, FL 33450
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I, hereby certify that the estate tax for the above named estate, has
b~en duly discharged or duly provided for. Wherefore and by reason whereof,
I do hereby issue this certificate waiving and releasing the lien of the
State of Florida imposed by Chapter 198, Florida S tatutes, on the following
described property. • ~
Lots 8, 9, 10, 11 and 12, elock 2, Westwood, Plat Book 6,
Page 17, public records of St. Lucie County, Florida; Lots
11 and 12, Block 1, Sunrise Estates, Plat Book 8, Page 75,
public records of St. Lucie County, Florida. _
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S ignatur _ T itle Date
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~ R. Glenn Dixon, Chief
Estate Tax Bureau _ 7-3-73
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