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FORM OR- )02
STATE OF FLORIDA
DEPARTMENT OF REVENUE f
` s ESTATE TAX BUREAU `~~ER~~ ~
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TALLAHASSEE, FLORIDA 32304 REC6R0 V~q~~i~f
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1 EOSTRAUGNN NON-TAXABLE CERTIFICATE AND RECEIPT
EYECUTrvf O~OECtd! ~CA~~~I
FOR ESTATE TAX ~J ~
TO:George W. Easterbrook Petitioner
c% Mr. I•'rank Lee, Atty. A 15 9 5 0 PP
P.O. Box 1000
Ft. Pierce, FL 33450 j~; The Estate of ,Muriel G. Easterbrook '
~
r~. ~rb~ in ~t. Lucie ~ty.~-
Deceased .
Resident of Peor ia
' County, Illinois -
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November 6, 1973
! Date :
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' $5.00 --~~:~Fee Received: January 29, 1973
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~ THtS IS TO CEftTIFY, That in accordance with the provisions of Chapter 198,
~ Florida Statutea, 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 certificate, however, shall
not preclude the assessment and collection 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
~ by any person this Certificate may be exhibited as evidence of such non. liability.
~ Given in quadruplicate under my hand and the sea! of the State of Florida the
~ date first above written.
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jj Department of Revenue
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`T~l~~:'•'-~r"~^. - R e: ~ Lot L, Blk. 16 3, South Port St. Lucie, Unit Nine.
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