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IN TIIE CIRCUIT COURT FOR HR4WA_~D
COU:dTY, FLORIDA (PROBATE DIVISION)
IhT RE: ESTATE OF ) No. 73-1p70
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ALBL•'RT J. CRUCOLL, d~ceased ) _ - •
STA`PE OF FLORIDA NON-TIUCABI,C
CER`PII'IC71TE A13598PP
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~ STATE OF FLORIDA .
DEPARTMENT OF REVENUE
~~i't~~ sT,'F~„ ESTATE TAX BUREAU ~
/rj" ' ~ ~s TALLAHASSEE, FLORIDA 32304 ,
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1 E057~aUG?+N NON-TAXA~LE CERTIFI~A~'E AND RECEtPT
f~rCVTwF o~oEC'O~ -
FOR ESTATE TAX
'?'():Elsie Cambria Executrix
c% Mr. Judson A e Samuels A 13 5 9 8 PP
2138 Hollywood Boulevard
Iiollywood, F1 33020
Re: The Estate of Albert J. Croc~ll
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Deceased . .
Resident of B~_c~_
COUDty, FI,Q~aa
Date:_ ~T ~n 7, 7 A7~
$ 5 0 00 $~-04}-Fee Beceived :__M3~ 2 5, 1973
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T~IIS IS TO CERTIFY, That in accordance with the provi9ions of Chapter 198,
~'lurida Statutes, there has been filed with this offce a sworn report or return for Estate
'i'~ixes as require~l by law and on th~ basis thereof it has been ascertained the above estate
i:: not 9t~bjeet to the I~'iorida F.~tate Tax . The issuance of this certificate, however, shall
::i?t przclude the asses~ment and collection of F.state Taxes subsequently determined to be
~'=ci~ the State of Fl~rida.
If proof of non liability b} the above estate for the Fiorida ~:state Tax is required
i+; any person this Certificate may be exhibited as evidence ~f such non liability.
GivE~n in quadruplicate under my hand and the seai of the State of Fi~rida the
c=_zte ~rst above written. ~
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~ H;~ecufive Director
I)epartment of Kevenue
- . • State ot F:orkia
County ot Broward
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'`~~}t ~~alid ~.r•ithnnt seal sffiYed. ~j;.:t-
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