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STATE OF FLORIDA ftlEO AN$ ~`'~D
DEPARTMENT OF REVENUE Sfi.IVG~E CO fiA. ;
RCGER PO~ML~
S~''f ESTATE TAX BUREAU 'a~~.~~~~i~' `~~T ~
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' ~ TALLANASSEE, FLORIDA 32304
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J EO STRAUGMN NON - TAXABLE CERTIFICATE AND RECEIPT 28~8s3 ~
EtfCU7wE D~AECTOR FpR ESTATE TAX
TO: Mr. Jerrold E. Shaffner, Attye
; ~
2601 Davie Boulevard ~ ' - ' ~
Ft. Lauderdale, FL 33312
Admin. H~~: TI~~ l~:,t.ttc ~~f Albert R. Shaffner
1)~~~•~a~r~1.
K~~~i~i<•nt ~~f St. Lucie
~:,~~~~~i~._ Florida
~ April 11, 1974
i
E ~a.llll l~ec liccci~~c~l.
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THIS IS TO CERTIFY, That in accordance with the provisions of Chapter 198,
= 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
3 is not subject to the Fiorida Estate Tax. The issuance of this certificate, however, shall
~ not precluc~e the assessment and collection of Estate Taxes subsequently determined to be
~ due the State of Florida.
~
~ 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.
~ (iiven in quadruplicate under my hand and the seal of the State of Florida the
- date first above written.
_ ~
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_ ~S .
- Executive Director
~ Department of R.evenue
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= is in ~ ~ ~C~~
. . . ~n, ~rt ~~r!~rFl~e~ ~ ~ 7`0
~E~~; JERROLD E. Sr~~rFNER
_ 2601 ~~1 D,;v;a ~~,~~evard ~
~5 Not valid without seal affixed . Fo~ ~~~,e~a~~~1a
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