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FORM QR- ]02
STATE OF FLORIDA
DEPARTMENT OF REVEMUE
` ESTATE TAX BUREAU .y
TALLAHASSEE. FLORIQA 32304 ~`9`~~
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ED STRAUtaMN NON - TAXABLE CERTIFICATE AND RECElPT
E~cECUT~vE O~RECTOO ~OR ESTATE TAX
TO: Lewis Ts. Briggs Spouse
A 20811 PP
c/o Abstract and Title Corp.
205 S. Second Street - "
Ft. P~ercg, FL 33450 j~• The Estate of Josephine C. Briggs
~ ~ ~E~~~oE~ Deceaeed .
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C x~,~~ s~ R~sident of Bercten
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AE~~'i ` ~ 1
2~ a~1 ~a Cpunty~ New Jersev
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~ j~tte; Auc~ust 15, 1974
~ 289`71'7 $S.o~.-88 Fee Received: Julv 18, 1974
THIS IS TO CERTIFY, That in accordance with the provisions of Chapter 198,
Florida Statut~s, there ha~ been ~led with this office a sworn report or return for Estate
Taxes as required by law and on the basis thereof it has been ascertained the above estate
~s not subject to the Florida Estate Tax . The issuance of this certificate. however, shall
not preclude the assessment and collectio~ of -Estat~ Taxe9 subsequently determined to. be
~Ue the State of Florida.
If proof of non liability by the above estate for the Florida Estate T~x is required
by any persc~n this Certificate may be exhibited as evidence of such non iiability .
Given in quadruplicate under my hand and the seal of the State of Florida the
date first~above`~vritten. . 7
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Not valid ~vithout seal affixed .
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