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STATE OF FLORIDA
DEPARTMENT OF REVENUE "
ESTATE TAX BUREAU ~
' TALLAHASSEE. FLORIDA 32304 _
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J fDSTRAUGHN NQN-TAXABLE CERTIFICATE AND RECEIPT ~
EtECUT~VE O~I~ECTOO FQR ESTATE TAX
TO: Ms. Edna M. Grieb~ing D 116 61 -
776 E. Prima Vista Blvd.
Port St. Lucie, FL 33452
Re: Tl?e Estate of Charles J. Griebling
Deceasecl. ' -
Re~ident o[ St. LuCie
Spouse Couniy, Florida
Datc: Mav 28, 1974
i SS.00 I~ ee Hecei~•ed. '
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~ THIS IS TO CERTIFY, That in accordance with the proviaions of Chapter 198,
~ Florida Statutes, there has been filed with this office a sROrn report or return for Estate
~ Taxes as requared 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 assessment and cotlection of Estate Taxes subsequently determined to be
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due the State of Florida. ~
If prqpf 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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Not valid without seal affixed . ~$L~469 ~
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