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FO~tM OR- ~Oi 28'7169
STATE OF FLORIDA
~ ~ DEPARTMENT OF REVENUE
ESTATE TAX BUREAU 1
- ~ TALLAHASSEE. FLORIDA 32304
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1. E~ STRAUGNN NON -TAXABLE CERTIFICATE AND RECEIPT
°'""T°" FOR ESTATE TAX
TO: Norma A. R~ffner Execx.
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c% Warren, Case, Weingar ~ner, w 2 ~ 12 8 PP
and Yorks, Attys.
2 State 5treet, 5~:irf 1C3~ The Estate of John D. Ruffr.er
Roc'~ester, hY l~~i~ ~
Fla._ prop. in Broward &
Deceased. - St. Lucie Counties
Resident of M~n-ne _
County, ~7p~ y~~
Date • ~uls~-3, 1 A?L
~~.~4 ~],_QO Fee Received: Tzt P~ 2~. i~74
THIS IS TO CEftTIFY, That in accordance with the provisions of Chapter 198,
Florida Statutes, there has been filed with thia office a sworn report or return for Estate
? d tes as required by law and on the basis thereof it has been ascertained the above estate
is not suoject to the ~lorida Estate Tax. The issuance of this certificate, however, shall
not preclude the assessment and collection of Estate Taxes subsequently determined to be ~
due the State of Florida.
If proof of non liability by the above estate for the Florida Estate Tax is required -
by any person this Certific~te 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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- ~ ~ ' i Executive Director
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Not valid without seal affixed . ~~~s9
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