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• ~ ST-1951
iORM OR• ]02
STATE OF FLORIDA
DEPARTMENT OF REVENUE
` ESTATE TAX BUREAU
" ' TALLAHASSEE. FLORIDA 32304 ~~p `
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1 EO STRAUGHN NON • TAXABLE CEiiTIFICATE AND RECEIPT
FOR ESTATE TAX
TO: Vincent M. Brown, Admin.
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C,/~ ~rh~low & Thurlow, Atty~ .
P.O. Box 106 -
Stuart, FL 33494
Re.: Tl~c F~:tatc uf Amelia_ O. Shank
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f~icp R~_~ ktG~1R~ED pccea~~xl. Fla. Prop. lin St. Lucie
ST. LUC~E ~vUM r LA. ~
RQ:,_-. • "vltii~6 CO.
Cl'cRti ~..~;.~?T COUPT Re;i~l~•nc of Montgomery
Rf~r, :1 •,c:EO -
Ju~ 10 3~4 PM'~~1 c~~~~~~~.., M~yi~a,
I)ate: June 27.1974
I'~ ~~~5~~ ~~.110 Hce liecei~~cd.
~ THIS IS TO CEKTIFY, That in accordance with the provisions of Chapt~r 198,
~ 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 ascPrt~ined the above estate
is not subject to the Florida Estate Tax. The issuance of this certificate, however, shall
not preclude the assessment and rollec~ion of Estate Taxes subsequently determined to be
due the State of Florida.
If proof of non liability by the ahove estate for the Floi•ida Estate Tax is required
by any person this Certificate may be exhibitEd as evidence of such non liability.
(~iven in quadruFlicate under my hand and the seal of the State of Florida the
date first above written.
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.3~-_ - . = Executive Director
_ _ : ' Department of ftevenue
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Not valid witt~out seal affixed. 800~c~ PA6E~6`~
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