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FORI.~ DR- 301 ~ '1 f r~
STATE OF Fl.OR1OA ~ r ~ .
«~u~~ DEPARTMENT OF REVENUE
~ ESTATE TAX BUREAU ' ~ ' - :3
~ " TALLAHASSEE, FLORlDA 32304 ,
` FEE . . -
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1 EO STRAUGMN NON -TAXABIE CERTIFICATE AND RECEIPT .
EaECUtrcE D~wfC*OR
FOR ESTATE TAX
TO: Marie A. Barr _ Spouse C 9 8 4 5 9
c/o Frank Fee, Atty.
P.O. Box 1000
Fort Pierce, FL 33450 The Eatate of
' John D. Barr
Deceased.
Resident of _ s_ T. p
County, Florida
Date• TL~~ ~ g,~~
S5. 00 ~-1-:88-Fee Received : same
THIS IS TO CEBTIFY, That in arcordance with the provisions of Chapter 198,
Florida Statutes, there has been fi[ed with this office a sworn report or return for Estate
Taxes as required by law a~d on the basis thereof it has been ascertained the above estate
is not subject to the Ftorida Estate Tax. The issuance of thi9 certificate, however, shall
not preclude the assessment and collection of Estate Taxes subsequently ~etermined to be -
~ due the State of Florida.~
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If proof of non liability by the abo~~e estate for the Florida Estate Tax is required
' by any person this Certi~cate may be exhibited as evidence of such non liability.
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~ Given in quadruplicate under my hand and the seal of the State of Florida the
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; date first above written.
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' ' ~ Executive Director
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; ; . - Department of Revenue
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` ~ ~ f lED AMt3 REC4RDE0
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~ ' ' :~~1~ ` RECOR~ YE~~FIED~
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: Not vatid ~?ithout seal affixed . 2593s2
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