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iORM OR.70j .
r STATE OF FLORIDA ~
? ~ DEPARTMENT OF REVENUE ~
. ESTATE TAX 6UREAU '~e~~
TALLAHASSEE. FLORIDA 32304
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J. EO STRAUGNN NONTAXABLE ~CERTIHCATE AND RECEIPT - .
. FOR ESTATE TAX
TO: gauquel R. Falkinburq, III Sxec. ~ 17 8 2 6 ~
.C/O Lillienfeld & Lillienfeld, Attys.
Law Blc~q. ~ -
Pleasantville, NJ 08232 Re: Tl~e Eatate of
Samuel R. Falkinburg Jr.
Deceased.
Resident oI Citv of .Pleasantville, Atlantic
_ County, New Jersev .
Date: September 4,1974
; :5.00 Fse Received: . ~
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- TRIS IS TU CERTIFY, Thst in accordsnce rvith the proviaions of Chapter 198,
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Florida Ststntes, there hss been filed with this office s s~vorn report or return for Estate
Tases ss required by lsw and on the basis thereof it has been sscertsined the above estste
is not subject to the Florids Estate Tsa . The iasuance of thie certifics~, however, ahsll
not preciude the sssessment and collection of Estste Tsxea subsequently determined to be _
due the 3tste of Florids. . ~
If proof of non liability by the sbove estate for the Florida Estate Tsac is required
by any person thia Certificste may be ezhibited sa evidence of such non lisbiiity.
Given in qusdruplicste under my hsnd and the seal of the 3tste of Florida the ,
dste first above w?ritten. ~
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