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STATE OF FLORIDA
` DEPARTMENT OF REVENUE
T~ ESTATE TAX BUREAU 'Z~a3si3
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~ ~ ~ TALLAHASSEE, FLORIDA 32304
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J EO S7RAUGMN NON - TAXABLE CERTIFICATE AND RECEIPT
f~E~~'.~E o.~«7~, FOR ESTATE TAX
TO: Anna Lee Spouse
c% Penin~ular Title Insurance Co. A Z 5 9 7 0 PP
P.O. Box 3719
Ft. Pierce, FL 33450
Re : The Estate of Erl ing Lee
. F~ prop in St, Lucie
Deceased , cty
Resident of Los Anqeles
County, California
Date: November 6. 1973
$ 5. 00 ~1-A~ Fee fteceived : Oc tober 16 , 1973
THIS IS TO CEftTIFY, That in accordance with the provisions of Chapter 198,
Florida Statutes, there has been filed with this office a sworn report or return for Fstate
Taxes as required by law and vn the basis thereof it has been ascertained the above estate
is not subject to the Florida Estate Tax . The is~uance of this certificate, however, sha11
i not preclude the assessment and collection of Estate Taxes subsequently determined to be
due the State of Florida.
i
; If proof o~non liability by the above estate for the Florida Estate Tax is required
` by any person this~Certifiicate may be exhibited as evidence of such non liability.
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; Given in qaadruplicate under my hand and the seat of the State of Florida the
; date first above written.
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" - . ~ . . . .
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~ ~ Executive Director
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- = ' _ '~i,~~ Department of Revenue
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~Y . ' ` FJlED AMD KECOBDEp
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• - =T. LUCIE COUNTY f~A.
: - + : . r• -..u'_~. - • ROCER POIIRAS
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= :•!A` Q CLERK C~='.~UIT CQURT
" RFCORO VERIfIED
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Not valid without seal affixed . ~
! go~K220 p~~2604 2~363
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