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FORM pR- ~Ot
STATE OF FLORfDA ~
OEPARTMENT OF REVENUE
ESTATE TAX 9UREAU -
TALLAHASSEE. FI.ORIDA 32304 -
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Eo s~~~~. NONTAXABLE CERTIFICATE AND RECEIPT
FOR ESTATE TAX ~
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TO. Augustus A. Topper, Spouse ~ 2114 6
C/O Robert I. Boose, Atty. ~ _
124 N. Center Ave.
So,:serset, PA 15501 Re: Tl~e Fstate of
. Rosamond S. Topper
f1lE0 ANi~ +tECOR0E0 DeceBSe.d.
ST.~uC~E. CouMTY fLA• gpmerset
RQCEK FOt7RAS Resident of
CIERK C~°CUI? COURT .
~C~y~~ VE31T~E~"-- Pennsylvania
- pF.c 10 3- 3~ PM County,
- Date: October 22,1974
~ 2~8~ ' ES.00 Fee Received:
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~ THIS IS TO CERTIFY, Tha! in accordsnce with the provisions of Chapter 198,
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Florida 3tatutes, there has been filed with this office a sworn report or return ior Esta?te
Taxes as required by law and on the basia thereof it has been ascertained the above estste
is not subject to the Florida Eatate Taa . The iasuance of this certificate, however, shall
not preclude the assessment and collection of Estate Taaes subeequently determined to be
due the State of Florida. ~ _
If proof of ~on liability by the above eatate for the Florida Estate Tax is required
by any person this Certificate may be exhibited as evidence of such non liability.
Given in quadrupticate under my hand and the seal of the 3tate of Florida the '
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date first above.•~vritten . `
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