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Catchings 21073
FORM OIt- ~Ot
~ - STATE OF FLORIDA
~ DEPARTMENT OF REVENUE
ESTATE TAX BUREAU
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TALI.ANASSEE. FLORIDA 32304
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, Eo S~~~N NONTAXABLE CERTIFICATE AND RECEIPT
E7t[NTN~ WR~CTOR ~R ESTATE TAX - -
To: ~ D 21913
Lucy C. Balsam, Petitioner
c/o Francis J. Strapp, Atty. ~
28 West State Street Re: Tlie Escace of Page B. Catchings
Trenton, New Jersey
' Deceased.
Resident of Mercer
- County, New JerseX
Dace: ~ November l, 1974
$5.00 Fee Received:
THIS IS TO CESTIFY, That in accordance ~vith the provisions of Chapter 198, ;
Florida 3tatutes, there has been fited with this office a aw?orn report or return for Estate '
~ Tsxes aa required by law and on the bseis thereof it has been ascertained the above estate
~ is not sub'ect to the Florids Estste Taa . The isausnce of this certificate, ho~?ever, shall
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not preclude the assessment and collection of Estate Taxea subsequently determined to be
due the State of Florida.
If proof of non liability by the above eetate for the Florida Estate Tax is required
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 Florida the
date firat above ivritten .
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