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FORM OII-]0?r
STATE OF FLORI~A
OEPARTMENT OF REVENUE
ESTATE TAX BUREAU
~ TALLAHASSEE. FLORIDA 32304
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J. ED STRAUGNN NON -TAXABLE CERTIFICATE AND RECEIPT
[IEWTWE O~R[CTpR ~ ~OR ESTATE TAX ~
TO: walter Yearby spouse D 10 319 =
c% Mr. Moie J. L. Tendrich, PA
2240 Biscayne Boulevard
Miami, FL 33137 Re: Tl~e Estate of
Charlie Mae Yearby t
~
Deceased.
Resident of St. Lucie
Councy, Flor ida
~ Date: May 7, 1974
- $S.lb Fee- Received.
~ -
~ THIS IS TO CERTIFY, That in accordance with the provisions of Chapter 198,
~ Florida Statutes, there has been filed with thia office a aworn report 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 Taz. The issuance of this certificate, however, shall
not preclude the assessment and collection of Estate Taxes subseq`uently 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 .
Givert in quadruplicate under my hand and the seal of the State of Florida the .
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