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FORM OR•l02 ~LVV~E ~`i0V1~,• f~'-
STATE OF FLORIDA RpQEp ppIT41?S ~ i~
, DEPARTMENT OF REVENUE REC~OVERRi
ED C~~ ~
ESTATE TAX BUREAU d
TALLAHASSEE. FLORIDA 32304 ~ 3 9 43
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28i195
Eo S~~~MN NON -TAXABLE CERTIFICATE AND RECEIPT
E~ECUT~YE DIRCCTOR FOR ESTATE TAX
TO: Theresa M. Herrick Spouse
, D Oi511
c% Mr. Chester B. Griffin, Attyo
Po O. Box 12 70 -
Fort Pierce, FL 33450
Re: Tl~e Estate of Lester S. Herrick
Deceased.
Resident of St. Lucie
~ Cot~nty, Florida
nate: April 23, 1974
~ 55.00 I~'ee Received.
~
~ THIS IS TO CERTIFY, That in accordance with the provisions of Chapter 198,
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 iasuance of thia certificate, however, shall
not preclude the assessment and collection of Estate Taxes aubsequently 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.
Given in quadruplicate under my hand and the seal of the State of Florida the
date first abov~: ir~i~en •
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~ h: ~ _ ~ , ` ~ Execut~ve Director •
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Not vslid ~vithout seal affixed .
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