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?"ORM OR' 702
STATE OF FLORIDA ~~;G,+?+~:=_~t~-'~'~
DEPARTMENT OF REVENUE 4~~F~
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ESTATE TAX gUREAU ~`-~`x ^
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TALLAHASSEE, FLORIDA 32304 ?
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1 EOSTRAUGHN NON-TAXABLE CE~tTIFICATE AND RECEIPT ~9844
C~EC~I~~rE O~RECTOO FQR ESTATE TAX
TO: Mildred F. Pickel, Heir
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C/O J. Shaffner & Shaffner, Attys.
2601 Davie Blvd .
_ ~~~t. Lauderdale, FL'33312
Ke: Tl~e ~state of Cece].ia Shaffner
Decea,ed.
Re~ide~~t o[ S t, r.~~ i~
Cow~c~, Florida -
Dacc • .T„ 7 ~~3~,. 7
97a
$S.liO Fce Receiced.
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THIS IS TO CERTIFY, That in accordance with the provisions of Chapter 198,
Fiorida ~tatutes, there has been filed 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
is not subject to the Florida Estate Tax. The isauance of this certificate, however, shall
not preclude the assessment and collection of Estate Taxes subsequently determined to be
due the State of Fiorida. .
If proof of non liability by th~ above estate for the Florida Estate Tax is required
by any person this Certificate may be exhibited as evidence of sueh non liability. _
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t~iven in quadruplicate under my hand and the seai of the State of Florida the
date first above written. ~
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Not valid ~vithout seai affixed . BOC~! P,,~~ ~~59 _
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