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FORM plt- 70Z i
STATE OF FLORI~A ~O~
DEPARTMENT OF REVENUE
~ ESTATE TAX BUREAU
I TALLAHASSEE. FLORIDA 32304
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! EO STRAUGMN NON - TAXABLE CERTIFICATE AND RECEIPT
FQR ESTATE TAX
TO: Margaret L. Grashorn Execx. ~ 1 5~~
c% Pain & Julian, Att~rs.
1940 E. Camelback
Phoenix, AZ 85016
Re: The 1~~ tate of Carl H. Grashorn
i~~~'~~~~'~~• Fla. Prop. in St. Lucie
& Charlotte Co.
Rc~i~l~ nt ~?f Mar; cot~a
{;~~~ii~ty, Ar ~ zona _
January 22. 1974
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f ~:i.llll Fce NeceiceJ.
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i THIS IS TO CEKTIFY, That in accordance with the provisions of Chapter 198,
I Florida 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
` is not subject to the Florida 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 iiability by the above estatP for the Florida Estate Tax is required
by any person this Certificate may be exhibited a~ evidence of such non liability.
Given in quadruplicate under my hand and the seal of the State of Florida the
date first above wt~tten.
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Executive Director
~ Department of R.evenue
F1~Ed Ar) RECuR0E0
sT.lUC1f COUM111 Ft~.
RG~~? j~~1~RAS
CIERK _ = ;JIT COUAT
RECQR: 7E~ ~''tEG
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Not valid without seal affixed . Df~;~
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