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STATE ~F FLORlDA
DEPARTMENT OF REVENUE
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` ESTATE TAX BUREAU
V ~ ~ TALLAHASSEE, FLORIDA 32304 '2~~+V~4
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1 EC STRAUGMN ~ NON - TAXABLE CERTtFiCATE AND RECE~PT ~
E~ECU~~vE D~AF[iM FOR ESTATE TAX ~
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TO: S, c~iise Heir at Law C 10 2 7 9 6
1003 ~iebraska Ave. -
.Fort Pierce, FL 33450 ~
- . . - Re : The Eatate of
_.Do~ald F. Shoemaker
Deceased . ~
Resi~ent of -
~'.~'~:a~i~ ~ - a : _ -.--.-.--------~t.
i . County, Florida °
;
~ DSte Septem~er 20 ~ 1 971
;
, $5.00 $r~9-Nee Received: same
~ . ~ : ~ ~ 1 ~i~i,
THIS IS '~'b ~~RTIFY, That in accordance with the provisions of Chapter 19$,
Flori~a Statutes, there has been filed with thiy office a sworn report or return for Estate
~
~ Taxes as required by taw and on the basis thereof it has been ascertained the above estate
~s not yuLject to the Florida Esiate Tax . The issuance of this certificate, however, shatl
not preclude the asses5ment and collection of Estate Taxes subsequently determined tv be
due the State of Ftorida.
If proof of non liability by the above estate for the Florida Estate Tax is required
hy any person this Certificate may be exhibited as evidence of sach r~on liability.
Given in quadre~plirate under my hand and the seal of the State of Florida the
date first absri?ef; iR=itit~~en.
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_ - : S; ~ ( L.~~ ~ K~Si_ ~~,Q
~,~'A '
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. . ' Executive Director
- ~ ~ . ~ - ' ~ I~pactment of Revenue
I L` . .r fIlE0/tNC RECORpEQ ~~'-li-
i~~ _ St. UlCif COt)NTr FIA. - 1.
~ ROGc'R POITRAS . ~
• ~ CLERK Ct ;CU~T COU~f
RF*~?Rn YEK~FIED ~
~AM 1~ $ k~ ~'7~ ~
Not vaiid aithout seai affixed .
;~222 ~E2589 z~z~~4
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