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FORMDR-~02 ~ ~ ~ ~ ~ .i""~~.•- .
. F ~T~ OF FI.ORIDA ~ - , ~ ~ r~. ~
DEPARTMENT OF REVENUE ~1, '
ESTATE TAX BUREAU u~~ xC~j ~ 3
1~~~ TALLAHASSEE. FLORIDA 32304
,pNAX~
E3AT~NE~C`~'. : )t~ED
GUTHR'~~_,~._
J EO STRAUGNN NON • TAXABLE CERTIFiCATE AND RECEIPT ,~~~`~O
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EXECUT~vE dRECTdt FOR ESTATE TAX
~
TO: Albert J. Lanz Petitioner
c% Mr. Rex B. Guthrie, Atty. A 15316 PP (
I S. E. 3rd Avenue - `
Miami, FL 33131
Re : The Estate of~ Kathryn A. Lanz ~
-
Deceased.
Resident of Dade ~
County, Florida
Dste• November 28, 1973
E October 19, 1972
~ $S.OO~oA Fee Received: -
~ THIS IS TO CEftTIFY, That in accordance with the provisiona of Chapter 198,
Florida Statute$, 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
is not subject to the Florida Estate Tax. The issuance of this certificate, however, shall
not preclude the asseasment and collection of Estate Taxea 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. '
~
Given in quadruplicate under my hand and the seal of the State of Florida the
date first above written. f`Ep ~Na a~~okoEo
:~.LUCi~ COUMT1f ftA. ~y~
ROCE~+ fQl?RAS ~
clEaK c~~cW~ COURT ~ ~~r' C
~ . RECOst" ~`~'~f iE0 ~.....--~T C~ ~9
~ jy IZ ~o PN'~ ecut~ve Director .
~ Ex
28~~5 Department of Revenue ~
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Not valid without seat affiaed. : ~
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