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~EPARTMENT OF RE'VENUE ~~~~~~a~~'a~ ~
AI~~X Q{RY~}If
ESTATE TAX BUREAU ~f~owa vfR~~+Eo
TALLAHASSEE. FLORIDA 32304 ~ r~ IQ O~ ~~'3
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259223
! EOSTi~AUGHN NON-TAXABIE CERTlFICATE AND RECEIPT
UECU~rvE D~OECi00 FOR ESTATE TAX
TO: Ella Holekamp spouse C 9 8 4 8 5
c/o Peninsular Title Insurance Co.
P.O. Box 3719
Fort Pierce, FL 33450 j~; The Estate of
Adolph Holekamp
Deceased.Fla. prop. in St. Lucie Co.
Resident of cook
County, Illinois
DAte• Jul~ 6, ] 973
~5.00 $r$~-Fee Received: s~me
THIS IS T4 CERTIFY, That in accordance with the provisions of Chapter I98,
Florida Statutes, there has been filed with this office a sworn report or return for Estate
Taxes as required by law and o~ the basis thereof it has been ascertained the above estate
` is not subject to the Florida Estate Tax . The issuance of this certificate ; however, shatl
~ not preclude the assessment and cotlection of Estate Taxes subsequently determined to be
t
E ~due the State of Florida.
E
~ If proof of non liability by the above estate for the Florida Estate Tax is required
! by any person this Certificate may be exhibited as evidence of such non [iabitity .
' Given in quadruplicate under my hand and the seal of the State of Florida the
f
~ date ftrst above written .
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s Not valid w?ithout seal affixed .
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