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FORM OR• 702 ;
STATE OF' FLORIDA ~ ~
DEPARTMENT OF REVENUE
ESTATE TAX BUREAU
~ TALLAHASSEE. FLORIDA 32304 ~
` ~ 803-~ ~
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J- ED STRAUGMN NON -TAXABLE CERTIFICATE AND RECEIPT
F~R ESTATE TAX
TO: Betty F. Campbell Spouse ' 7~ 6 3 .
c/o O'Laughlin & O'Laughlin, Attys.
P.O. Box 3405
Fort Pierce, FL 33450 Re• Ti~e Fscace of ~
- Sidney C. Campbell
Deceased.
Resident of St. LuCie
Florida ~
Cotmty, ~
~ April 17, 1974
~ Date:
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~S.tN) I'ce Recei~•ed.
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? THIS IS TO CEKTIFY, That in accordance with the provisions of Chapter 198,
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~ Florida Statutes, there has been filed with this office a aworn 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 isauance of this certificate, however, shall
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~ not preclude the assessment and collection of Estate Taxea 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 Eatate Tax is required
~ by any person this Certificate may be exhibited as evidence of such non liability .
~ Give~t 1~r- quadruplicate under my hand and the seal of the State of Florida the
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s:=~ date first abo~?e'#~tten.
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. ~ . _ ~ . . Executive Director .
~ ~ Department of Revenue f~IED AtID RECORDEO
: . . - > . _ y;_'.~ : c- S .lUC1E GOUtfT1? flA.
. ~ • a- ROGER Pa1TR~S `
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: • ~:,,,~:;~E,,~ CIERIf CInCUIt COURT
; _ RECOR~ VERtF1E0
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Not valid without seal affixed . -
So~226 ~i??1 ~~~3
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