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STATE OF FLORiDA ~;t ~u}Ill~~l ~L~.
~ ~EPARTrviENT OF REVENUE P~:tTAaS (
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o , r~~ ESTAT~ TAX BUREAU t~~FsF.~ rE~~F~_o
" ~ ~ ~ TALLAHASSEE. FLORIDA 32904 ~
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iTRAtJ;aHN NON-TAXABIE C~RTIFlCATE ANC~ RECEEPT 266358
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FOR ESTATE TAX '
TO: Joseph c~arner canon ~xec. C 1 ~ 2 7-~+ 3
c/o ~lr. Charnelle H. Sumr~ers, Jr. , Atty.
2i9 Biscavne Bldg.
'.~liar~i, FL 33130
Re: The Eetate of ~~rjorie A, Blake
Deceased . - + .
Resident of Dade
County , Florida
Datte: September 20, 1~73
$5.00 Fee Received: sa~ne
THiS IS TU CERTIFY, That in accordance with the provisions of ~Chapter 198,
Flurida Stat~tes, therr has been filed with this office a sROrn repart or return for Estate
Ta~es as required hy IaR- and on the basis thereof it has been ascertained the above estate
is not sub;ect to the Florida Estate Ta~ . The issuance of this certificate, howe~ er, shall
n~t preclude the asse~sment and co~lection of Estate Taxes subsequently determined to be
aus the State of Florida.
If proof of non liabili~y by the above estate for ti~e Florida Estate Tax is required
by any person ti~is Certifcate may be exhibited as evidence of such non liability.
Given in quadruplicate under my hand and the seal of the State of Flocida the `
date first above written. _
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c~,'~.•'~~~. ~ Executive Director
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~ . ~ . Department of Revenue
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hot valid w?ithout seal af.fixed .
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