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STATE OF FLORIDA ~(~~'7
' DEPARTMENT OF REVENUE
ESTATE TAX BUREAU
TALI.AHASSEE, FLORIDA 32304
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~ ~ EO STRAUGHN NON -TAXABLE CERTIFICATE AND RECEIPT _
EiECtITWE D~~IECTOR FOR ESTATE TAX
TO: Sarah S. Cornwall Spouse , 6~~~ -
c/o Mr. william F. Willes, Atty.
P.O. Box 309
Fort Pierce, FL 33450 Re• Tlie F.state of
• Thomas S. Cornwall
Deceased.
Resi~lent of ~t T Lc-i Q
County, F1 ori da
j Uate: A
r~3,1_8, 7 974
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' THIS IS TO CEftTIFY, That in accordance with the provisions of Chapter 198,
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r Florida Statutes, there has been filed with this office a sworn report or return for Estate
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~ 'Taxes as required by law and on the basis thereof it has been ascertained the a ove estate
~ is not subject to the Florida Estate Tax. The issuan~e of this certificate, however, shall
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~ not preclude the asaessment and collection of Eatate Taxes subsequently determined to e
~ 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
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~ by any person this Certificate may be exhibited as evidence of such non liabi ity.
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Given in quadruplicate under my hand and the seal of the State of Florida the
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~n: date first above written .
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- ~ Executive Director 2gO4;;~
- Department of Revenue `
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~~`~j Not vslid ~vit{hdu't seal affixed .
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