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STATE OF FLORIDA
' OEPARTMENT OF REVENUE -
ESTATE TAX BUREAU
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` TALLAHASSEE. FLORI~A 32304
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EoS~~~M« NON-TAXABLE CEi~T~F~C~?TE ~?ND R~CEIPT
FOR E&TATE TAX
TO: rsarqaret x. xotchaciss, sPouae ~ 1 Q 6 O O
1906 R~yal Palm Dr.
Ft. P~erce, FL 33450 - ~
~~~aaoEO - Re: 'fhe Escate of H~ert 8. IiotchT~iss
FILEO ANO `
COUNtY Fl~-
St.l~C1E~ F,1~AAL - Deceased.
CIEaR ~oRf
tE~4 COURT
RECORO YE ~ Resident of St. LuCi
t2 41 ~'1?1 F~or~d f
~ County, a
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r Date: Julv 15,1974 ;
: 28'7~39
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- SS.UO Fee Received.
THIS IS TO CERTIFY, That in accordance ~vith the provisions of Chapter 198,
Florida Statutes, there has been filed ~vith this office s aworn report or return for Estate
Taxes as required by law and on the bssia thereof it has bee~n ascertained the above eatate
is not subject to the Florida Estate Tax . The isauance of thie certificate, however, shall
not preclude the assessment and collection of Estate Taaes subsequently determined to be
due the 3tate of Florida.
If proof of non liability by the above estate for the Florida Estate Tax ia required
by any person this Cert~ficate may be exhibited as evidence of such non l~ability.
Given in quadruplicate under my hand and the seal of the State of Florida the
date first above written.
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= ~ . ' ~ Executive DirPCtor
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r Department of Revenue
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Not vslid without seal sffixed .
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