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fORM OR-)O? ~LfD akp :~E~ORDEO
STATE OF FLORIDA ~T. WCIF COtlM71? fL~
74- 17843 Ro~~R
DEPARTMENT•OF REVENUE CIERk ;:i~.;,~IT CDURT ~ -
RECORp V_a:ft
E ESTATE TAX BUREAU
~ ~ TALLAHASSEE, FLORIDA 32304 ~[e 6 21Z PM ~
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J ED57RAUGMN NON-TAXABLE CERTIFICATE AND RECEIPT
E~ENT~vE D~REC~01~ FOR ESTATE TAX
TO: Helen M. Brown Spouse L~ ~
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c/o Mr. James R. Roads, Atty.
1227 No. State Rd. 7
Hollywood, FL 33021 Hf.: TI~~ 1:~~.s~e oF Edward N. Brown
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'I It~~~i~l~~nt ~~f Broward
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~ , January 16, 1974
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THIS IS TO CERTIFY, That in accordance with the provisions of Chapter 198,
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~ Fiorida 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, shatl "
~ not precluc~e the a9sessment and colfection of F.state Taxes subsequently determined to be w
due the State of Florida. y
~ tf proof of non :liability by the abor•e estate for the Florida Fstate 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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ri date first above written .
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~ . Executive Director
~ - Department of Revenue ~
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= Not vatid without seal affixed . I~'~ ~`•~'r:~ S:~,~_. 7
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