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FORM DR- 302 26- J~O Q 486'786
~ ~ STATE OF FLORIDA
OEPARTMENT OF REVE~IUE
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~ „ ESTATE TAX BUREAU
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r TALLAHASSEE, FLORlDA 32304
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J. ED STRAUGHM NON - TAXABLE CERTIFlCATE AND RECEIPT
EXECUTWE D1RECiOIt
FOR ESTATE TAX
TO:T. R. Clark, Exec. "
c/o Mr. William R. Sigmon ~ 0 r~~~ PP
Attorney at Law
P, o, sox 1792 Ke ; The Estate of
Hickory, North Carolina 601 Bonriie L. Clark
Deceased. Fla. prop. in Sarasota &
F~LEO ~~~~r~OED ~ St. Lucie Co.
S1.LUCIl COUNTY FIA. ~ ~sident of Cata~ba
RG~E~ PutYR~S
ClEF1~ ~~~ctEn COURT
Rr".C~~E ~f COUllty, North Carol' na
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26'~7808 $ s. oo 1~ 00 Fee Received : June 28 ~ ~~~1,
- THrS 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 Estate
Taxes as required by law and on the basis thereof it has been ascertained the above estate
is not subject to the Florida Estate Tax. The issuance of this certi#icate, however, shall
not preclude the assessment and cotlection of Estate Taxes subsequently determined to be
; due the State of Florida.
~ If proof of non liability by the above estate for the Florida Estate Tax is- required
o by any person this Certificate may be exhibited as evidence of such non liability.
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Given in quadruplicate under my hand and the seat of the State of Florida the
' date first above written . ,
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- Executive Director
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Not vatid without seal affixed . h„,
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