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FORM OR.7pj '
STATE OF FLORIDA
DEPARTMENT OF REVENUE
ESTATE TAX BUREAU
TALLAHASSEE. FLORIOA 32304 ~6~4
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J EO STRAIKsMN NON • TAXABLE~ CERTIFICATE AND RECEIPT
"""T"` °'""T°" FOR ESTATE TAX
Tn= irl; nnie O. Jones Spouse D 13 3 4
c% Mr. Rugert J. Smith, Atty ;
209 Raulerson Building -
Ft. Pierce_, FL 33450 Re• Tlie Fctate of
• Clarence W. Jones
~~js~4 DeceascYl.
~x, ~~gLRDEO
gj~LUvlE ~a~NaAS`~ ~ Rc:ident of St. LUCle
RG~Ep_ ~~tj COUat ~ Flor~da
C~~f~. r Cuunt~,
P.ECA~~ ~Ef Fi_0~~
11 g~~~~~ Date: June 26, 1974
~ ~ 5.1111 Fee Kecei~-ed.
~ THIS IS TO CERTIFY, That in accordance with the provisions of Chapter 198,
~ Fiorida 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 b~en ascertained the above estate
is not subject to the Florida Estate Tax. The issuance of this certificate, however, shall
~ not preclude the assessment and coilec~ion of Estate Tak~s subsequently determined to be
due the State of Florida.
If proof ~of non liabiiity by *_he above estat~ for the Florida Estate Tax is required ;
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~ by any per~on this Cer'tificate may be erhibited as evidence of such non liability. ~
~ Given in quadtaplicate under hand aad th~ seal of the State of Florifia the
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date first abov_e:W~~tten.
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. f '-,a ~ . -.L ~ . - : Executive Director
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= - - Department of Revenue
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Not valid w?ithout ~eal affiaed . e~~
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