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FORM OR-702 V~
STATE OF FLORIDA
DEPARTMENT OF REVENUE i~S9U'„S
~ ESTATE TAX BUREAU
~ TALLAHASSEE. FLORIDA 32304
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! EO STRAUf,NN NON - TAXABLE CERTIFtCATE AND RECEIPT
EsECUt~vE O~~lECTp1~
FOR ESTATE TAX
TO: Marie R. Mayhan Spouse C 9 8~ ~ 7
c/o Peninsular Title Insurance Co.
P.O. Box 3719
Fort Pierce, FL 33450 j~ • The Eatate of
~ James H. Mayhan
f11.E0 ~ND R~~~A~E~ DeCeased . Fla.
ST•~~~~~ ~~UNj~ f~A~ prop. in St. Lucie Co.
fiOCE~ ~~itR1~S
CLERK C~A6 f1p CpURt . RQgjdellt Of , Falls Chtirch
RCCOR~ •E' 1
~~6 a Ol ~N ~~3 County. yf rginia
Date : Jul~ 12 ~ 97 ~
2s9oss $5.00
~eA Fee fteceived : same
THIS IS TO CEBTIFY, That in accordance with the provisions of Chapter 198,
Florida Statutes, there has been filed with this office a sworn r~port or return for Estate
Taxes as required by law and on the basis thereof it has been ascertain~d the abo~Te estate
is not subject to the Florida Estate Tax. The issuance of thia certificate, however, sha11
not preclude the assessment and collertion of Estate Taxes subsequentiv determi~ed to be
~due the State of Florida.
If proof of non liability by the above estate for the Florida Fstate Tax is required
by any person this Certificate may be exhibited as evidence of such non liability.
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(iiven in quadruplicate under my hand and Lhe seal of the State of Florida the
date first above written.
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Not valid` w~~iout seal affixed . ~~~s ~i~
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