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STATE OF FLORIDA
OEPARTMENT OF REVENUE ~.r61-~.1-~+
ESTATE TAX BUREAU
TALLAHASSEE. FLORIDA 32304
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EOSTRAUGNN NON-T~?XABLE CERTiFICATE aND RECEIPT ~
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FO~R ESTATE TAX
TO: Tessie Grabek Execx. C 10 0 0 5 0
:
c/o Scott, Tilton & Frasier, Attys. '
P.O. Box 526
Jensen Beach, FL 33457 The Eatate of '
• Vincent A. Grabek
Deceased. ~
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Rresident of st _ r.t~~i A
- COU[ity, Florida
Uate: Al7(~ilAt 2~ i 9~~
$5.00 ~:~8-~ee Received: sams
THIS IS TO CERTIFY, That in accordance with the provisiona of Chapter 198,
Florida Statutes, there has been filed with this office a sworn report or return for Estate
Taxes as required by law and on the basis thereof it has been asce~tained the above estate ;
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is not subject to the Florida Estate Tax. The iasuance of this certificate, however, shal!
not preclude the assessment and collection of Estate Taxes subsequently determined to be
due the State of Florida. -
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If proof of non liability by the above estate for thc ~lorida Estate Tax is required
by any person this Certificate may be exhibited as evidence of such non liability.
Given in quadrupticate under my hand and the seal of the State of Florida the
date first above written .
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_ ' i = r i ` • _ - ~r \ ~~~M./ _
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= . ' ' ~ ~c ' • Executive Director ~
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Not valid without seal affixed . ~ T3 ~
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