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1\ 'I'IIE CIRCUIT COUIt'1' OF 'I'I1~: 111'1i JUllICIAL
CIRCUt`1' IN AND FOR DADE CUUNTY, FLORIDA
. PROBATE DIVISION '
~;p. 73-433
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~:STATE OF:
ADELAIDE G. BEA~~l~sed. 1
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STATE OF FLORIDA .
DFPARTMENT OF REVENUE
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o„ ESTATE TAX BUREAU
~ ~ TAt_L~iHA~Sc E. FLORIDA 32304 ~
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: E° :TQ~U~H~ ht~N ~AXAg:.E CFRTiFICATE AND RECEIPT
E•i_,;rr:; :.~ri.::GR
rOR ESTAtE TAX
TU: ~'~zr~ ^lac~_± ~x;~cx, _ _
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c/o '~!r. Y~rvey °ie~1Fr, A}tv.
Fir•.ancial Fec;eral nl~~c~.
{{iar. i t'e~c}:, i'L 33139
Re: The Estat~ of '~'~P_ic11'!P_ "~-~rr~~r ~
Deceased.
R.esident of '~a~e
COUnty. ~~~r',~~
~ j1Ate:_ !`eL~tE~:'~~L~er 25, 197?
Q ~ l. 00 t'ee Received : s~~
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e T~IIa l~ Ti? ~,'~:RTIF'~' , That in a~cord~nce with the provisions of Chapter 198,
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~ Fl~rida 5tatutcs, there has been fled with this office a sworn report or return for Estate
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a I'a~~~ a;~ equ~rec; t~r ~aw• and on thr 6asis thrreof it has been ascertained the above estate
~ i~ r~c•t ~+~bject to the Florida EstatE° `~'a~:. The issuance of this certificate, huwe:~er, shall
~ ~ct creclud~ th~ assessment and cv!~ec.:~n uf F~tate 'IaY,s ~u~seyuently determined to be
~ ~:~e thc ~tate o~ Fl~rida.
~ ~f proof of non li~bility~ b~- the abr~ve : statP far the Fiorida Fstate Tax is required
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~ by an~ person this C~rtificate ;nay be echibitYd 3s evidence nf such non liability.
~ t~iv~n in qua~ruplicate un~er my hand and the seal of the Staie oi- Florida the
v' dat~ fir~! abo~P writt:n.
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