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FORM OR• ~02 • ~
STATE OF FLORIDA
~~0~ ~EPARTMENT OF REVENUE ~ si~tE~8~~118
R~ECTM .
ESTATE TaX BUREAU ~ +rocf~ Pottiu?~~
TALLAHASSEE. FLORIDA 32304 C~ERII CIRCUIt COtptT
RECORa vERIF1Eo
~ • . OL'T 11 9 AM'7~1
Eo sT*~~-.~+N NONTAXABLE CERTIHCATE AND RECElPT
FOR ESTATE TAX
. TO: grancea Lowe. yaqerlene~, spouse - ~ 2 i 111
c% wiiies, sittan & Wiiies, Attys.
P.O. Box 309
Ft. P~erce, FL 33450 Re• Tlie Estate of
_ • Robert Harola ~,~we
Deceased.
. Resident of S t. Luc i~
County, Florida
~ _ Date: October 22 ,1974
; t5.00 Fee Received: - :
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~ THIS I3 TO CEItTIFY, That in accordan~e ~vith the proviaions of Chapter 198,
Florida 3tstutea, there has been filed with this office a sw~orn report or return for Estate
Tsaes as required by law? and on the bssie thereof it hss been ascertsined the above estate
ia not aubject to the Florida Estste Tsa . The isauance of this certificste, how?ever; shalt
not preclude the assessment and collectian of Estste Tsaes subsequently determined to be
due the State of Florida. .
If proof of non liability by the above eatate for the Florida Eatate Tax is required
by any person this Certificate may be exhibited as evidence of such non liability.
Given in quadruplicate under my hand snd the seal of the 3tate of Ftorida t~e ,
date first above w?titten. ~
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° Eaecutive Director
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Not valid without sesl affiaed. ~QpK~~ PAGE 4~ •
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