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FoaM oR-~oz ^j.~ ~
STATE OF FLORIOA ~ ~
DEPARTMENT OF REVENUE ~
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ESTATE TAX BUREAU ~ i
~ TALLAHASSEE. FLORIDA 32304 ~ ~
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J. EO STRAUGMN ~ NON • TAXABLE CERTIFICATE AND RECEIPT
FQR ESTATE ?AX ~ ~
TO: Ms. Do113e s. Daugherty D 15 3 2 9
7 Indigo Lane
Port St. Lucie, FL
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Spouse Re: Tl~e F..,tate of Silas C. Daugherty '
, n~po~~~ No Real Sstate ~
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~ Resi~lent of St. Lucie
Florida ~
County,
, Date: Julv 26, 1974
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~ $S.UO Fee Received.
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; THIS IS 9'O CERTIFY, That in accordance with the provisiona of Chapter 198,
~ Florida Statutes, there hae been filed with this office a aworn report or return for Estate
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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 isauance of this certificate, however, shall ~
not prectude the assessment and collection of Estate Taxes subsequently determined to be ~
due the State of Florida. ~
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If proof of non liability by the above eatate for the Florida Estate Tax is required
by any person this Certificate 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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. _ 1. ~i'.`ti- S/'F.~J~ !q
, . Execut~ve Director v ~
~ ~ , .,~,;~~z? Department of Revenue ~
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