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FORM OR- ~02
STATE OF FLORIDA F lED ~h=. "~~~~OEO
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ESTATE TAX BUREAU ~`EF~ ` '~'~~T ~Q~Rt
RFCn~~ V~ ~ `~EL
TALLAHASSEE. FLORIDA 32304 I~ 31
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Eo s~~~MN NON -TAXABLE CERTIFICATE AND RECEIPT
FpR ESTATE TAX
TO: Ruby Swansbn Execx.
- c/o M=. Johr~ F . Sherwood , Atty . ~ ~ ~ ~ ~ ~
1700 Washington Bldg. '
Seattle, WA 98101 ~
Re: T}~e Estate of Sven J. Swanson
Deceased. Fla. prop. in St. Lucie Co.
Resident of Snohomish
L~„~n~y, Washinaton
i~a~e; Apt'il 1, 1974
~I ~S.UO Fce Kecei~-ed.
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~ THIS IS TO CEftTIFY, ~hat in accordance with the provisions of Chapter 198,
~ Florida Statutes, there has been filed with this office a awor~c~gort or return for Estate
~ 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 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 eatate for the Florida Estate Tax is required
by any person this Certificate may be exhibited as evidence of such non liability. _
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Given in quadruplicate under my hand and the seal of the State of Ftorida the ~
date first above written . <
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`'r Executive Director
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Not vaiid without seal affixed .
SOOK ~ PACf~~
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