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- STATE OF FLORfOA
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DEPARTMENT OF REVENUE ~
. ESTATE TAX BUREAU i
~ TALLAHASSEE. FLORIDA 32304 ~
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J ED STRAUG?~N N4N • TAXABLE CERTIFICATE AND RECEIPT
FOR ESTATE TAX
TO: Ruth S. Clasby Phillips Spouse C 10 Q 17 2 ~
c/o Ben L. Bryan, Jr., Atty.
P.O. Box 3230 .
Fort Pierce, FL 33450 The Estate of
' Gene T. Clasby ~
Deceased .
Resident of St. Luc~ e ~
County, Florida _ ;
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Date• August 6, 1973
' $ 5. 00 ~-};~-Fee R~eceived : same
THIS IS TO CERTIFY, That in accordance with the provisiona of Chapter 198, ~
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; 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 ascertained the above estate t
~ is not aubject to the Florida Eatate Tax . The issuance of this certificate, however, shall
~ 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 the Florida Estate Tax is required y
~ by any person this Certificate 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 '
date first_ ~o t-i~ritten. '
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Not valid w?ithout eesl affixed . ~
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