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FpRM OR- )02 26i}339
STATE OF FI,.ORIDA
DEPARTMENT OF REVENUE
ESTATE TAX BUREAU -
TALLAHASSEE. FLORIDA 32304
l. EDSTRAUGHN NON-TAXABLE CERTIFICATE AND RECEIPT
E1tECVTtVE ONIECTOR
FOR ESTATE TAX
TO: Martha J. Evarts Execx. ' C 9 9 4 9 2
c/o Peninsular Title Insurance Co.
P.O. Box 3719
Fort Pierce, FL 33450 The Estate of
~ Ellsworth T. Evarts
Deceseed.Fla. prop. in St. Lucie Co.
R+esident of New gaven
County, Connecitcut
Date : Jul~y 24 , 1973
SS. 00 ~;~--Fee Received : same
THIS IS TO CEftTIFY, That in accordance with the provisions of Chapter 198,
Florida Statutes, there has been filed ~?ith this office a sworn report or return for Estate
Taxes as required by law and on the basis thereof it has been ascertained the above estste
is not subject to the Florida Estate Tax. The issuance of this certificate, however, shall
~ not preclude the asseasment and collection of Estate Taxes subsequently determined to be
i
i due the Stste of Florida.
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~ If proof of non liability by the above estate for the Ftorida Estate Tax is required
; by any person this Certificate may be exhibited as evidence of such non liability .
; Given in quadruplicate under my hand and the seal of the State of Florida the
R date first above written.
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~ ~ ~'1` - . j' - Executive Director
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; ~ Department of Reven~e
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~ Not valid w?ithout seat affixed .
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