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~ORM OR•)Oj
STATE OF FLORIDA
OEPARTMENT OF REVENUE
ESTATE TAX BUREAU
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~ TALLAHASSEE, FLORIDA 32304
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J EO STRAUGHN NONTAXABLE CERTIFICATE AND RECEIPT
EaECUTWE MwECTOR _
FOR ESTATE TAX
TO: Richard G. Lewin xe~r D Z 7 S 5 Z '
c/o Richard D. Sneed, Jr., Atty. ~
700 Virginia Ave. i
Suite 102-SunBank Bldg. Ke: Tlie E.tate of
Ft. Pierce, FL 33450 Frank H. Restorick
Deceased.
Resi~lcnt of Wayne
Counc~, Michigan 7
Date: January 28 , 1975 i
$5.00 Fee Received:
THIS IS TO CEftTIFY, That in accordance with the provisions of Chapter 198,
~ Florida Statutes, there has been filed with this o~ce a sworn report or return for Estate
~ Taxes as required by law and on the basis thereof it has been ascertained the above estate
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! is not subject to the Florida Estate Tax . The issuance of this certificate, however, shall
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~ not preclude the asseasment and coilection of Estate Taxes subsequently determined to be
R 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
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~ by any person this Certificate may be exhibited as evidence of such non liability. ~
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~ Given in quadruplicate under my hand and the seal of the State of Florida the
~ date first above written. -
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Execut~ve Director
y ~ Department of Revenu~~~fp RECOROFo
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~ : L~ ; - - t LUCIE COUMTY f1A.
~ ~ ROCER POITqAS
` : = • ~ ' CLERK CIRCUIT COUNT
~ ~ .s , y ; RfCORO VERIF+EO
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~ Not valid without seal affixed .
` 8°00 ~ 3~165
K2~36 PAcE 957
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