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FORM OR. ~Ot ' /
~TA.T_~ QF F~ORIDA_ _ _ . ~ -
_ . -
- _ . _ _ _
OEPARTMENT OF REVENUE
of~~ s~E
a, ESTATE TAX BUREAU
~ o TALLAHASSEE, FLORIDA 32304 ~~~6'~Va7
.
J ED STRAUGMN NON -TAXABLE CERTIFICATE AND RECEIPT ~
fiECU~WE O~R~Crpw FOR ESTATE TAX
TO: William F. Johnson Spouse C 10 2 6 8 7
c/o Abstract & Title Corp.
P.O. Box 3696
Fort Pierce, FL 33450 The Estate of
- ' Doris M. Johnson -
Deceased.
Resident of St. Lucie
. County, Florida
~ Date; September 19. 1973
~ $5 . 00 $~-99-~ee R,eceived : sa~?e
E _ _ _ _ _ .
, _ - - -
~ 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 Eatate
~ Taxes as required by law and on the basis thereof it has been ascertained the above eatate
~ is not subject to the Florida Estate Tax . The issuance of thia certificate, however, shall
~ not preclude the assessment and collection of Estate Taxea subaequently 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 Gertifcate may be exhibited as evidence of such non liability.
~ Given in quadruplicate under my hand and the sea! of the State of Florida the
~ date Crst above written.
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~ : "'~J' . \N~;~:~-~=~~~'"•;':~~'. Execut~ve Director _ '
~ 'r ~ : ~~i . ~ = ~~r~- Department of Revenue
~ ; ~ ~ ~ FIlEO AND RECORDE9
~ ~ ~ - ~ • ~ _ ` = s;~c ST.IUCfE COUNTII FIA. :
; ~ {?t~t i } ,.;,y,c.~~:' . - ~ ROGEi POITRAS ` i
_ CIERK C+~CUIT COURT ~
. ~ , . ~ ~ . , { . - RECOR(1 V~it~F1E~
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~ ~ , - ~ S~ 2~1 3 36 PN'Z 3
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~ Not vslid without ~:~ffixed . 2~3$1,
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