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STATE OF FLORIDA
OEPARTMENT OF REVENUE ~r(~;~S~S _ '
~ ESTATE TAX BUREAU `
TALIAHASSEE, FLORIDA 32304
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J EO STRAUGMN NONTAXABLE CERTIFICATE AND RECEIPT
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FOR ESTATE TAX ;
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' Irene Hart, Petit. ~ 24511 '
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C/O Harrison W. Nichols, Atty.
1222 Main St. i
Union Grove, WI 53182 Re: Tlie F'.,4cate of
Melvin E. Hart
Deceased.
' Resiclent of Racine
Couny, _ wisconsin
Date: December 10. 1974 i
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$S.tx~ Fee Received:
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THIS IS TO CERTIFY, That in accordance with the provisions of Chapter 198, _
f Florida Statutes, there has been filed with this office a sworn report or return for Eatate ~
i Taxes as required by law and on the basis thereof it hae been ascertained the above eatate ;
; is not subject to the Florida Estate Tax. The issuance of this certificate, however, shall ~
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~ not preclude the a9sesament and collection of Estate Taxes subsequently determined to be '
~ due the State of Florida.
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~ If proof of non liability by the above estate for the Florida Estate Tax is required
~ by any person this Certificate may be exhibited as e~•idence of such non liability.
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~ Given in quadrupticate under my hand and the seat of the State of Florida the
~ date first above written. ~
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$ - - - Executive Director 299515
" ~ Department of Revenue
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~ - - - =T. RO~CER
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~ ' ~ ' CLERK CInC~lT CpURT
' ' RECOR~ VEp'.flED.~....~.,.~
~ ~ r ,1~M il 12 s3 PM'75 '
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~ Not valid w?ithout seai affixed.
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