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STATE OF FLORIDA
DEPARTMENT OF REVENUE '
ESTATE TAX BUREAU ~61465
TALLAHASSEE, FLORIOA 32304
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J. ED STRAUGMN NON -TAXABLE CERTIFICATE AND RECEIPT ~ _
EaCCU~~vE O~RECT011 '
FOR ESTATE TAX
TO: gthel x. vanselow spouse . C 1 O O 15 2
c/o Philip G. Nourse, Atty.
133-A N. 4th St.
Fort Pierce, FL 33450 j~ • The Estate of
- _ ' Fred C. Vanselow
Deceased.
Resident of st_ zuc~p
GDUDty , Flprida
Date : AuquQ ~ , ~ 9 ~ ~
$5. 00 ~8A Fee R~eceived : same
THI3 IS TO CEftTIFY, That in accordance with the provisions of Chapter 198,
Florida Statutes, there has been fited with thia office a sworn report or return for Estate
Taxes as required by law and on the basis thereof it has been ascertained the above estate
is not subject to the Florida Estate Tax. The is$uance af this certificate, however, shall
not preclude the assessment and coliection of Eatate -Taxes sabsequently determined to be
~ due the State of Florida.
; If proof of non liabitity by the above estate for the Florida Estate Tax is required
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j 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
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; date first-~a#~ove written .
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f::~.~k~?~;•:~ - F.xecutive Director
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