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STATE OF FLORIDA
DEPARTMENT OF REVENUE , ~
ESTATE TAX BUREAU ~S :
" 1 TALLAHASSEE. FLORIDA 32304
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J ED STRAUGHl1 NON -TAXABLE CERTIFlCATE AND RECEIPT
~aEtu~w~ WR«Ta ~R ESTATE TAX ~
TO: ,~+s. Dorothy E. Bryant spouse ~ `
2630 Woc,dwoxth Place ~
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fiazel Crest, I~, 64429
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Re: Tfie F.state of Gil~er+~ 3ryar.t ~
P. ? n t,~ci ~ :
f1LE0 ~K ~OUwtY f~~. ~ FL Pro , , ~
St.~uc~t ,e~~a~s ~ Deceased . }
p~K C~~~V`j ~QURT and iierr.~r.c?r, Ct} s.
p~co~^ ~t ~'ftEO RQqident af cect -
~ 22 ~ County, 111 ~ no~ S ;
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~ $ 5, 00-$l~.-00 Fee Received : sgF~~
THIS IS TO CESTIFY, That in accordance with the previ9ions of Chapter l98,
Florida Statutes, there has been filed with this offire a sworn report or return for Estate
Taxes as required by law and on the basis thereof it has been asrertain~d the above estate `
is not subject to the Florida Estste Tax . The issuance of this certificate, however, shall
not preclude the as~9sment and collection of Estatr Taxe~ subsequentty determined to be
due the State of Florida.
If proof of non liability by the above eatate for the Florids E~:~tate Tax is reyuired
by any person this Certificate may i~e exhibited as e~•idence of such n~rn liability.
Given in quadruplicate under my hand and the seat of the State of Florida the
date first above written.
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~s~ • Department of Revenue
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Not valid without seal affixed. d~~~ p~~~ .
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