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• STATE OF FLORIDA ~ ~W~~
DEPARTMENT OF REVENUE ~R PAtt'~~ ~
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ESTATE TAX BUREAU ~~coao vfk~fiEo
~ TALLAHASSEE. FLORIDA 32304 ~ ~ 2 ~ ~
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1 EO STRAUGMN NON -TAXABLE CERTIFICATE AND RECEIPT `
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E~ECUTWE WRfCTOR ~OR ESTATE TAX .
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T~~ Frank Milburn Spouse - ~
c/o Mr. Ben L. Bryan,. Jr. , Atty. A 214 4 5 PP
P.O. Box 3230
Ft. Pierce, FL 33450 The Estate of
~ Beulah F. Milburn
Deceased . ~
Resident of st Lucie
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County, Florida ;
Date: Sentember 2~. 1974
$5. 00 Fee I~eceived : September 9~ 1974 ~
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' THIS IS TO CERTIFY, That in accordance with the provisions of Chapter 198, ~
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~ Florida Statutes, there has been fited with 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 Estate Tax . The issuance of this certificate, however, shall
not preclude the assessment and collection of Estate Taxes subsequently determined to be ~
due the State of Florida. ~
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If proof of non liability by the above eatate for the Florida Estate Tax is required ~
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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 Ftorida the
date first above writ~ten. - ~
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~ Not valid without seal affixed . _
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