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STATE OF FLORIDA
FILEO AMQ KECpROE
' DEPARTMENT OF REVENUE EL WCIE COUNT1f f /
ROCER POITRA3
ESTATE TAX BUREAU CLERK CIRCUIT COURT
TALLAHASSEE. FLORIDA 32304 RECORO YERIFtEO
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J EO STRAUGMN NON - TAXABLE CERTtFICATE AND RECEIPT ~2~~
E~ECUTrvE WR[CtOA FOR ESTATE TAX
TO: Lawyers Title ~nsurance corp. D 15203
321 South 2nd St.
Ft. Pierce, FL 33450
Re: Ti~e ~:state of Margaret V. Van Doren
Deceased.
Resi~lent of. St •LC~e
County, Flnrida
. Date: Ju~ 24,197
SS.00 Fee Received.
i THIS ~S TO CER,TIFY, That in accordance with the provisions of Chapter 198,
`i, Florida Statutes, there has been filed with this office a aworn report or return for Eatate
` 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, s6a11
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 apch non liability .
Given in quadruplicate under my hand and the seal of the State of Florida the
date first above written.
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