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FORM Oq-~Ot
STATE OF FLORIDA '
~ DEPARTMENT OF REVENUE
ESTATE TAX BUREAU ~~~0
TALLAHASSEE. FLORIDA 3230~
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Eo NONTAXABLE CERTIHCATE AND RECEIPT
FOR ESTATE TAX
Tp; Robert R. Baucher Son
D 17287 -
96 Frank Vaccariello Atty. _ -
26460 Mallard Ave.
Euclid, Ohio 44132 ~ Re: Tlie Estate of Alice Baucher
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Deceased.
Cuyahoga
~ Resident of
County, Oh io
Date• August 28, 1974
, =5.00 Fee Received:
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THI3 I3 TO CERTIFY, Thst in accordsnce ~vith the provisions of Chaptsr 198,
Florids 3tstutes, there hss been fited with this office a aworn report or return for Estate
Tsxes ss required by law snd on the t~asie thereof it has been ascertained the above estate
ia not subject to the Fiorids Eatate Tax . The issuance of this certificate, however, shall
not preclude the assessment and collection of Eetate Taxea subsequently determined to be
due the State of Florids.
If proof of non liability by the above eatate for the Florida Estate Taa is required
by any person this Certificate may be exhibited as evidence of such non liability. ;
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Given in quadruplicste under my hand anfi the seat of the 3tate of Florida the _
date first aboY~ w~tten. -
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~ ~ :-~r;:-- '~_~;r.. Executive Director
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. , Department of Revenue
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. , . . RQCER P0IYRAS
~ ~ , CLERK CiftCU1T COUIIT
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" • ~ RECORO YERIiIED
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Not valid without sest affixed .
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