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RSCaRDED IN OFFICIAL RECORP BOOK 367, PAGE 610
FORM ~R- ~02 ~
• STATE OF FLORIDA _
DEPARTMENT OF REVENUE
~ ESTATE TAX BUREAU
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TALLAHASSEE. FLORiDA 32304
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J.EOSTRAUGMN NON-TAXABLE CERTIFICAT~ AND RECEIPT
Ei[CUr~YE DtRECTOR . ~'QR ESTATE TAX
TO: pauline E. Riqgs, Spouse
c% Mr. Her~ert F. Schultz A ~ 0 9 5 0 PP
Attorney at Law
Suite 500 Rock Island Bank Bldg.
Rock Island, Illinois 61201 R,e ; The Estate of Fred M. Riggs ,
, Deceased. gla. Prop. in Charlotte &
St. Luc e C
Resident of Roc~C Is~ana
~ounty, Illinois
~ Date • July ~0 . 1971
~ $4.00 July 30, 1971
~ $l. 00 Fee Received : Julv 8, 1971
THIS IS TO CERTIFY, That in accordance with the provisions o~ Chapter 198,
Florida Statutes, 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 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 estate 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 Flarida the .
date first above written.
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~ _ _ . - ~1 ~ ~ . sT. lUC1E COUNTY ftA.
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Not valid withoutseal affixed . ~ ~ - ~
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