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FORM DR• lOt ~
STATE OF FLORIDA
DEPARTMENT OF REVENUE ~~+~r~~
~ ` ESTATE TAX BUREAU
~ TALLAHASSEE, FLORIDA 32304
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1 EOSTRAUGHN NON-TAXABLE CERTlFICATE AND RECEIPT
E~[CUTryE 0~11ECtO0 ~ ~OR ESTATE TAX -
TO: Cynthia Ferguson Spouse
c% Abstract and Title Corp. A 1819 0 PP
P.O. Box 3696
Ft. Pierce, FL 32304 .
Re: The Eetate of Elias B. Ferguson
Deceased.
• Resident of St. Lucie
County , F lor ida
Date• March 18, 1974 .
$ 5.00 ~r-ffp Fee Received : March 12 , 1974
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' THIS IS TO CEftTIFY, That in accordance with the provisions of Chapter 198,
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Florida Statutes, there has been filed witk 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 Eatate Tax . The issuance of thia certificate, however, shal!
~ not preclude the assessment and collecteon of Estate Taxea 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.
Given in quadruplicate under my hand and the seal of the State of Florida the '
~ date .fi_rst above written. -
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Not valid without seal affixed.
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