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STATE OF FLORIDA A~a ~c~
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DERARTMENT OF REVENUE RU~EF ' ='~~~5
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ESTATE TAX BUREAU a~coF^ Y~u!~if Q
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J fD STR!?UGHN NON -TAXABLE CERTIFICATE AND RECEiPT
F~[CI~~~Vf O~REC701~ .
FQR ESTATE TAX
TO: Edna Ruth Backus Spouse C 10 3 6 41
c/o Abstract & Title Corp.
P.O. Box 3696
Fort Pierce, FL 33450 The Estate of
' Rodman I. Backus
Deceased.
Resident of St, Lucie
County, Florida
Date: October 5. 1973
$ 5. 00 $1. 00 Fee Received : same
THiS IS TO CEKTIFI', That in accordance with the provisions of Chapter 198,
Florida Statutes, there has been ~ted with this office a sworn report or return for Estate
Taxes as required by law and on the basis thereof it has been ascertained the above estate
is not suhject to the Florida Estate Tax . The issuance of this certificate, however, shatl
not precluc~e the assessment and collection of Fstate Taxes subsequently determined to be
~ ciue the State of Florida. ~
~ ~f pr4of of non liability by the above estate for the Florida Estate Tax is required
i
~ hy any person this CertiCcate may be exhibited a9 evidence of such non liability.
~ Given in quadruplicate under my hand and the seal of the State of Florida the
~ date first above written .
~ ~~n
- C"' ~ `7
~ ~ F.xecutive Director -
~ - ~ Department of Revenue
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Not valid w?ithout seal affixed . ~t~ ~t~
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