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FORM OR.~i , ~ /
' STATE OF FLORiDA
DEPARTMENT OF REVENUE
ESTATE TAX BUREAU
~ ~ TAI.LAHA55EE. FLORIDA 32304
~25g~
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J. EG STRAUGNN NONTAXABLE CERTIFICATE AND RECEIPT
E7lECU~1Y[ 01R~Ct01~ ' ~R ESTATE TAX
TO: Ben L. Bryan, Jr. _ ~
p.o. Box 3230 D 19231
Fort Pierce, FL 3450
~
Attorney Re: Tt~e Escate of Charles J. Gardner
Deceased.
Resident of St. Lucie ~
' County, Florida
Date: September 25, 1974
$5.00 Fee Received:
~ TH1S IS TO CENTIFY, Thst in accordunce w?ith the provisions of Chapter 198, t
~ Florida 3tatutea, there has been filed with this of5ce a aworn report or return for Estate ~
~ Taxes as required by law and on the basis thereof it has been ascertained the above estate
~ ~ -
~ is not aubject to the Florids Eatate Tax . The issuance of this certificate, however, shall ;
not preclude the assessment and collection of Estate Taxes subsequently determined to be ~
due the 3tate of Florida. -
If proof of non liability by the above estate for the Florida Estate Tax is required ~
by any person thie Certificate may be exhibited as evidence of such non lish:iiiy. ~
Given in quadruplicate under my hand and the seal of the State of Florida the 3
date first above writt~it;,
;
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Executive Director ~
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~ ; ' : , LEO ~MO RECORDEO ~
• ~ + - . ~~.UiCIE COUMTY FLA.
~ ' ~ ~,,.a ~ - : I ~ , 110CEF1 FAITRAE ~
~ + ~ ' - : CLERK CIRCUIT COilAT
_ ~ • ~r.,; RECORp VERIFIEO
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# r~..c==. ~ 2 Oct 1 II sz A~I'1~1
Not valid w?ithout seal affixed .
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