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FORM OR• ~02 = j . r J « _ ~ /
STATE OF FLORIDA .
DEPARTMENT OF REVENUE
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ESTATE TAX BUREAU
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? TALLAHASSEE, FL~RIDA 32304
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• 263223
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! EO STRAUGMN NON - TAXABLE CERTIFICATE AND RECEIPT
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FOR ESTATE TAX
TO: ~thur G. Shaw Spouse C 9 8 5 2 3
c/o Abstract & Tit e Corp.
P.O. Box 3696
Fort Pierce, FL 33450 =
Re : The F.state of ~
Rhea M. Shaw
i?eceased .
Fla. prop. in St. Lucie Co.
Resident of wa~htena~
County, M~ _,~hi
qan
Date : _ .T~,1~6y 1473
~ ~5.00 $~:$9-Fee Received:.~,mp
-----'i`HIS-~tS-fiQ- CEKTrFY ; a ~n Wit~t}[+~j1rOYt3ibR$-$~C-~t8~? ,
Florida Statutea, there has been filed with this office a sworn report or return for Estate
Taxes as required by law and on the basia thereof it has been ascertained the above estate
is not subject to the Florida Estate Tax . The issuance of this certificate, however, shal!
not preclude the assessment and collection of Estate Taxes subsequently determined to be
due the State of Florida.
If proof of non liability by the above estate for the Florida ~:state 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 first above written.
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~ J - • Executive Director
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' - s'~ Department of Revenue
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~ FILE~ Ay~ RECOROED
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• • • CLERK CIqCUIT COURT
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Not valid witliout seat affixed . •
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BOOK218 PA~~1259
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