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FORM OR. ]Ot
t STATE OF FLORIDA '
~ . DEPARTMENT OF REVENUE . - 2~~843
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' ESTATE TAX BUREAU . ~
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TALLAHASSEE. FLORIDA 32304
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Eo S~~~M~ NONTAXABLE CERTIFICATE AND RECEIPT
E~EMN[ WR[CiOR FpR ESTATE TAX ~
TO: Agnes S. Peiree, Spouse
C/O O' Lauqhlir~ O' Laughlin, Attys . D 2 5 0 8 5
P.O. Box 3405 ~
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Ft. Pierce, FL 33450 Re• TI?e Escate of ~
• Albert E. Peirce
Deceased.
Resident of S t. Lucie
County, Florida
Date: Deceaaber 19, 1974
_ $5.00 Fee Received: .
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~ THI3 I3 TO CERTIFY, That in accordance w?ith the provisions of Chapter 198,
Florids Statutea, there has been filed with this office s aworn report or return for Estate
Taxes as required by law and on the baaia thereof it has been ascertained the above eatate
ia not subject to the Florids Eetate Tax . The issuance of this certificate, however, shall
not preclude the assessment and collection of Estate Taaea subsequently determined to be ~
due the State of Florida.
If proof of non liability by the above estate 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 3tate of Florida the
dste first above written.
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; , Executive Director 4a3
~ ~ . ~ - Department of Revenue :
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- 6tERK Cl~~UIT Q~R t
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Not vslid ~vithout eeal affixed .
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