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DEPARTMENT OF REVENUE _ ,
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ESTATE TAX BUREAU . 26~~9
TALLAHASSEE, FLORIDA 32304
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1 EOSTRAUGNN NON-TAXABLE CERTIFICATE AND RECElPT
~'E~~~.~~ aRE~T~ FOR ESTATE TAX
T~~ Kenneth M. Priae spouse C 1 Q t~ ~ 9 6
c/o William L. Peters, Atty.
189 N. W. lOlst St.
Miami Shores, FL 33150 The Estate of
' Leona R. Price
F ~fo a`-C4~oE~? Deceased .
S~. LUG~E COJM~ f ' ~
ItOCER PQ j~~s
CIER~EA1f1E~ C~~t ~9ldellt Of- ~Sf3~
RECORD '
~30 212~n~~~ COUtity, F1Qrida
. Date• Aug,~ct , i q~3
26~59 Ss. oo ~aA~e Received a~mP
THIS iS TO CERTIFY, That in accordance- with the provisions of Chapter 198,
Florida Statutes, there has been filed with this office a sworn report or return for Estate
Taxes as reqaired by Iaw and on the basis thereof it has been ascertained the above estate
is not subject to the Ftorida Estate Tax:- The issuance of this certifcate, however, shall
not preclude the asses.4ment and coltection of Estate Taxes subsequently determined to be
due the State of Florida.
If proof of non liability by the above estate for the Florida 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
date ftr9t above written.
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~ : . F.xecutive Director
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Not valid w?ithout seal affiaed .
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