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FORM OR• ~02 ;
. STATE OF FLORIDA 2~9zO '
DEPARTMENT OF REVENUE
ESTATE TAX BUREAU
~ TALLAHASSEE, FLORIDA 32304
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E~STRAUGMN NON-TAXABLE CERTIFICATE AND RECEIPT
EaECUTrvE OUtEfipl FOR ESTATE TAX ' ~
TO: susan s. Gross spouse D 10 3 4 3 L
c/o l~r. John H. Sutherland, Atty. ;
P.O. Box 100 ~
Vero Beach, FL 3~960 Re: Tl~e Estate of ~
Gerald C. Gross ~
Deccased. Fla. prop. in St. Lucie Co.
Resident of Distriet of
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g~~~~ Columbia
• Date: May 8, 1974
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~ THIS IS TO CEftTIFY, 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 ~he Florida Estate Tax. The issuance of this certificate, however, shall ~
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not preclude the assessment and collection of Estate Taxes subsequently determined to be
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 f
by an,y 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.
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~ Executive Director
~ Department of Kevenue
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