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This Certificate Replaces # C74963, April 12~, 1972. sCaS' `,~Z ~
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FORM DR- K12
STATE OF FLORIDA
DEPARTMENT OF REVENUE
~ _ ~ ESTATE TAX BUREAU
~ ~ " TALLAHASSEE. FLORIDA 32304 ~~~~9V
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J EO STiiAUGHN NON - TAXABLE CERTIFICATE AND RECElPT ~
`."u"~` FOR ESTATE TAX
TO: Emil G. Richter Admin.
c% Bertram Barat A 1~ ~ 2 9 PP
2236 SW 3 St.
Miami, FL 33135 The Estate of
Elizabeth M. Richter
• Deceased.
, -
• Resident of Dad~
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~ County, Florida
~ pate ; J~nuary 21, 1974
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~ $5.00 -~}~"Fee Received : July 17, 1973
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~ THIS IS TO CERTIFY, That in accordance with the provisions of Chapter 198,
~ N'lorida Statutes, 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. ~
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Given in quadruplicate under my hand and the seal of the State of Florida the '
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date fir3t above written. ~
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; : ~ Y Executive Director
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Not valid without seat affixed .
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