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FORM OR- )02 271s
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STATE OF FLORIDA
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~ - -_DEPARTMEdT ~F REVENUE
ESTATE TAX BUREAU ~~i~cic cai+~r fu-
ROGE~ P41TRA5
TALLAHASSEE, FLORIDA 32304 ~Lfa~ c+!:_ u~T ~QURT
~ ~ Rf.CGRO Vrft~- ~ED
~ 3~ I~ 10 ~'73
1 EO STRAUGHN NOP! -TAXABLE CERTIFICATE AND RECEtPT
EtECU~.v[ Ww[CTJw
FOR ESTATE TAX - ~ ~ -
TO: Frances c. Reilly spouse C 1 O 1~ 3 G •
c/o O'Laughlin & O'Laughlin, Attys.
P.O. Box 3405
Fort Pierce, FL 33450 The Eatate of
James B. Reilly
Deceased .
Resident of St. Lucie
County, Florida ~
pate• AuQUSt 27, 1973
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~ S5. 00 $r~9-Fee Received : same
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~ TH1S 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
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~ 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 issuance of thia certificate, however, shali
not preclude the assessment and collection of Estate Taxes subsequentiy determined io be
due the State of Florida.
` If proof of non liability by the above estate for the Florida Eatate Tax is required
~ by any pe~8on 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 firat above written .
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~ . - - - Execut~ve Director
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~ - ~ ~l~.;~ ~ ~~t~:~r Department of Revenue
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Not "vi;i8 w?ithout seal affixed . ~ ~
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