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STATE OF FLORIOA '
' DEPARTMENT OF REVENUE ~j - 3~~ y
~ M ESTATE TAX BUREAU ' ~
~ . ~l TALLAKASSEE. FLORiOA 32301 ~ '
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. ,.~os**•,~ PlpN•TAXABIE CERTIFICATE AND RECEIPT
FOR ESTaTE TAX
TO:John A. Shallcrosa Spous~
%!~lr. Charles A. Sullivan C 9019 9 ~
Attorney at Law
P.O. Box 3
, Vero Beach, Florida 32960 Re: The Fatstt of Verniec~ L. Shallcross
Deceseed. ' .
Besident of_~~~~~~,e~ ~
county, - pZQS3aa
Date: ~~b~wa~z-?Tir?3 .
' 55.04 Fee Received : s~e
- THI3 IS TO CERTIFY, That in accorda~ce with the provisiona of Chaptec 198, .
Florida Statutes, there has been filed with this office a sworn report or return for Estate
Tazes as required by law and on the basis thereof it has been ascertained the above estate
~ ia not subject to the Florida Estate Tax. The issusnce of this certificate, however, shail
~ not preclude the assessment and coltection of Estate Taxes subsequently determined to be
due the State of -Florida. .
If proof of non liability by the above estate for the Florida Estate Taz is tequired
br any person this Certificate may be exhibited as evidence of such non liability. ~
Given in quadrupiicate under my hand a~d the seaI of the State of Florida the
date first -above written. -
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