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STATE OF FLORIDA
DEPARTMENT OF REVENUE
~ ESTATE TAX BUREAU 2'~1945
~ ~ TALLAHASSEE, FLORIDA 32304
. ~
J EdSTRAUGNN NON-TAXABLE CERTIFICATE AND RECEIPT ~
E+c[CUTrvE D+7lfC?OR ~
F4R ESTATE TAX
TO: Philip Adelman Spouse
c% Peninsular Title Insurance Co. A 16 3 3 pp
P.O. Box 3719
Ft. Pierce, FL 33450 ~
fte: The Estate of Dora Adelman
FL prop in St. Lucie Co..
Deceased.
_
Resident of Kings ~
~
County, New York
Date• November 21, 1973
$5.00 -~};$9-Fee R,eceived: November 6, 1973
THIS IS TO CEftTIFY, That in accordance with the proviaions of Chapter 198,
Ftorida Statutes, there has been filed with this office a sworn report or return for E~tate
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
~ .
E 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 seal of the State of Florida the
~ date first above written.
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~ Not valid without seal affixed. 5~~. 7 ~Z'.v3
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- eo~K 2~2 `~c~158~ 2'71945
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