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ESTATE TAX BUREAU ~Fae~ o v P~F~~~,~„„~~
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J- EO STItAUGMN NONTAXABLE C~RTIFICATE AND RECEIPT ~9~~~ _
FOR ESTATE TAX
TO: Anna M. Ba~es, spouse D 18 4 7 4
C/O Mr. L.O. Stephens, Atty.
Raulerson B1acJ.
Ft. Pierce, FL 33450
. Re: Tl~e Eatate of J.H. Bales
Deceased. ~
Resiclent of ~ t-., T ~~c i P _
' County, ~7 nri r3a
' Date: ~Pr~tprr~er 13,1~74
$5.00 Fee Received:
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; THIS IS TO CERTIFY, That in accordance with the provisiona of Chapter 198,
~ Florida Statutea, there has been filed with this office a aworn report or return for Eatate
6 Taxes as required by law and on the basis thereof it has been ascertained the above estate
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ia not subject to the Florida Eatate Tax. The iasuance of thia certificate, however, shall
not preclude the asseasmen~ and collection of Eatate Taaea subsequently determined to be
due the Stat~ of Florida.
If proof of non liability by the above eatate for the Ftorida 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
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dste first above wri . ~ - ~
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~ Not valid without seal affiaced . "
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