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STATE OF FLORIDA
OEPARTMENT OF REVENUE
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ESTATE TAX BUREAU
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' TALLAHASSEE, FLORIDA 32304
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~ EO STRAUGHN NONTAXABLE CERTIFICATE AND RECEIPT
E+ECU~~vE WR[CTOI~ FpR ESTATE TAX
TO: Rita Ford, Spouse
D 24927
C/O Treasure Realty, Inc.
828 So. US 1
Ft. Pierce, FL 33450
Re: Tl~e F~tate of John W. Ford
Deceased.
Resident of St. Lucie
County, Florida
~ Date: December 17, 1974
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E $5.00 Fee Keceived:
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~ THIS IS TO CER.TIFY, That in accordance with the provisions of Chapter 198,
~ Florida Statutes, there has been filed with this office a sworn report or return for Estate
~ Taxes as required by law and on the basis thereof it has been ascertained the above estate }
~ is not subject to the Florida Estate Tax . The issuance of this certificate, however, shall
~ not preclude the assessment and collection of Estate Taxea subsequently determined to be 4
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 State of Florida the
~ date first above written.
~ 23833~ ~
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~ - %l=~R : . C~URT ~
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~ . "'-"'Execut~ve Director
x` . - ~AN 1 ~ S4 ~M'75 Department of Revenue f
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~ Not valid w?ithout seal affixed . ~.IU.~tN ~O
~ 800K 235 ~p~; ~ ZEIHER ~ BRIP~::LEY
- P. O. Box I! 022
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Foit Lauderdals, Florida 333Ub
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