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FORM DR- ~p2 ~ ~
STATE OF FLORlOA
DEPARTMENT OF REVENUE
° _ ESTATE TAX BUREAU _
~ ~ TALLAHASSEE, FLQRIDA 32304 2~sg82
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J EO STRAUGMN NON - TAXABLE CERTIFICATE AND RECEIPT
EaECViryE D~NE[700
FOR ESTATE TAX
TO: Carletta Smith Spouse
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c/o Peninsular Title Insurance Co.
P.O. B~x 3719
Fort Pierce, FL 33450 N~.: ~.;,~acc oi'
Frank K. Smith.
a~ ,,~~~Q~Q U~•~eas~•d. Fla. prop. in St. Lucie Co.
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))at~•: March 12, ? 974
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THIS IS TO CEKTIFY, That in accordance with the provisions of Chapter 198,
Florida Statutes, there has been filed with this office a sworn report or return for F.state
; 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 issuan~e of this certificate, however, ~hal1
i not preclucle the assessment and collection of Estate Taxes subsequently determined to be
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due the State of Florida. -
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~f proof of non liability by the abo~ e estate for the Florida Estate Tax is required
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' by any person this Certificate may be exhibited as evidenee 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 first above written .
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~ Fxecutive Director
! ~ • ~ ` " Department of R.evenue
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Not valid without seal affixed .
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