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iORM pR. ~02
STATE OF F'I.ORIDA
DEPARTMENT OF REVENUE p~~
ESTATE TAX BUREAU
. TALLAHASSEE. FLORIDA 32304
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J. EOSTRAUGNN NON-TAXABLE CERTIFICATE AND RECEIPT
E7t[CU~rvE O~RECi011 -
FOR ESTATE TAX
Ta~ Charles L. Ruff Petitioner C 9 9 0 9 9
c/o Lawyers Title Ir~surance Corp. ~
321 S. 2nd St.
Fort Pierce,. FL 33450 The Estate of
Elizabeth E. Ruff
Deceased.
Resident of CuyahoQa
County, ahio
Dste • :ru~~r 1~ ~ 1973 ~
S5. 00 ~~9 Fee Received : same
THIS IS TO CEftTIFY, That in accordance with the provisions of Chapter 198,
Florida Statutes, there has been fiied with thia office a sworn report or return for Estate
Taxes as required by law and on the basis thereof it has been sscertained the above e9tate
is not subject to Lhe Florida Estate Tax. The issuance of this certificate, however, 9halt
~ not preclude the assessment and collection of Eatate Taxes subsequently determined to be
f
; due the State of Florida.
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i If proof of non liabitity by the above estate for the Florida Estate Tax is required
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by any person this Certificate may be exhibited as evidence of ~uch non liability.
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~ Given in quadruplicate under my hand and the seal of the State of Florida the
f date first above written.
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; ~ Execut~ve Director
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Not valid ~vithout seal sffixed . 2S~S~
i ~216 ~2198
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