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STATE OF FLORIDA
~ DEPARTMENT OF REVENUE
ESTATE TAX BUREAU
~ TALLAHASSEE. FLORiDA 32304
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Eo sM~~~ NONTAXABLE CERTIFICATE AND RECEIPT
FOR ESTATE TAX
TO: Samuel C. Gay. D 18 3 0 2
2021 S. indian River Drive -
Ft. Pierce, FL 33450 - ~ ~
Re: TLe Estate of
Petitioner Margaret W. Gay
. Deceased. .
Re.~zident o[ St. Lucie _
County, Florida " _
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t Date: Segtember 11.1974
f $5.00 Fee Received:
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~ THIS I3 TO CERTIFY, That in accordsnce ~vith the proviaions of Chapter 198,
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~ Florida Statutes, there has been filed with thia office a a~?orn report or return for Eatate
Taxes as required by law snd on the basis thereof it has been ascertained the abave estate
~ is not subject to the Floriaa Estate Tax . The issuance of thia certificate, however, shall ~
not preclude th~ asaeeament and collection of Estate Taxes sub~equently determined to be -
due the Stste 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 eahibited as evidence of such non liability. _
Given in quadruplicate under my hand and the seal of the State of - Florida the ,
date first: " ' ~en.
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