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STATE OF FLORIDA
DEPARTMENT OF REVENUE
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ESTATE TAX BUREAU
. TALL.AHASSEE. FLORIDA 32304
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l. EOSTRAUGNN NON-TAXABLE CERTIFICATE AND RECEIPT
CtECU~~1l[ DUlECtOR .
FOR ESTATE TAX _
TO: Walter C. Bergman Spouse
c% Edward F. Butler, Atty. ~ r L~~~
9515 NE 2nd Ave.
Miami Shores, FL 33138
Re: Tl~e F~tate of Mabel M. Bergman
Deceased.
Resident of DadA
Cotu~t)• ~'1~~3~a _
I)ace: ' FAbruar~.6, 1Q7A
~~.1l1? Fee Itecei~-ed.
~ THIS IS TO CEftTIFY, That in ac • dance with the provisions of Chapter 198,
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Florida Statutes, there has been filed with th~s 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
is ~ot subject to the Florida Estate Tax . The isauance of this certificate, however, shalt
not preclude the assessment and collection of Estate Taxes subsequently determined to be
due the State of Florida.
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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 Fiorida the
date first above written.
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REG^F._; YEE.f:~~
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; Not valid without seal affized. F~S 18 ~0 0? aH'Z~
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lAW O~FICES OF EDWARO F BLTLER. 9'3~3 NORiTMEAST SECOND AVENUE. MfAMi SHORES. FLORIDA 33138