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STATE OF FLORIDA
~ ~EPARTMENT OF REVEN!!E ~ i -
~.STATE 1'AX BUREAU ~
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- TALLAHASSEE. FLORI~A 3230s ~
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~ m~ NOl~TAXAB~E CERTIRCATE AND RECEIPT ~Q'79'7
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OR ESTATE TAX
Cathron H. ~bare. Spouse D 17114
C!O Peninsnlar Title Ins. Qo. ;
P _O _ Baar 3719 ,
Ft. Pier~e, Ff, 33450 Rt: 77~e E,tate of
Henry F. Moore
Flr. Prop. in St. Lucie Co.
RG;ident of T. l~P
(',Oli~it~, TnAi ana
Date- »q~t 26,1974
; i5.00 Fet Received:
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~ 'T~IS I3 ~''O CEBTIFY. 77~t in ucordanee w?ith the pro~isions of Chapter 198,
F~riis gtatates, trer+e rss bcca filea witb this offiee i aworn report or return far Est~te
Yues as r~e~irei b1 i~w a~ on ~iie 6asis th~rrof ii~ has becn sscertaiaed the ibove estate
is Mt s~jat to tre Ftari~ Esute Tu. The issaaace of t6is certificste, hawever, shali
s~t ~edaJc tL~ aases~~nt an~ coUection of Eatite ~azes sabsequently determined to be
~~e the 3tate of Flerida.
If pcoof of ~n !iabiGt~ ~l t6e ibove estite for the Florida Estate Tiz is required
~ aa~ ~ers~~ tiia ~crtifis~tc w~ be ezbibited ss coidencc of such non liibility.
G~e~ i~ ~nplicste ander oy hsnd and the eea! of the Stste of Florida the
~ate fitst aiv~e ~rittea .
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. - _ Ezecutive Direetor
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