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fORM DR-7Dj
STATE OF FLORIDA ~ ~
DEPARTMENT OF REVENUE ~
ESTATE TAX BUREAU .
~ TAI.LAHASSEE. FLORIDA 32304 '
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l. EO STRAUGMN NONTAXABLE CERTIFICATE AND RECEIPT
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FOR ESTATE TAX
TO: $va ceneva Harc~wick, sxecx, p 2 9 2 9 2
C/O Charles RoP. Brown, Atty.
P . O . ~ Box 1418
Ft. Pierce. FL 33450 -
Re: Tl~e Estate of Otha N. Hardwick
to Deccased.
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~04£R gQ1~~lA ~t Resident of St. LuCie
g4ERK CR~
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aFCO4~ ~t County, _ F7 orida ;
f~,e Z6 ~ Date: Februarv 18 , 1975 ~
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! ~~90 $5.00 Fee Received:
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; THIS IS TO CEBTIFY, That in accordance with the proviaions of Chapter 198, :
! Florida Statutea, there has been filed with ttiis office a aworn report or return for Estate ~
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~ Taxes as required by law and on the basis thereof it has been ascertained the above estate s
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~ 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
~ due the State of Florida.
~ If proof of non liability by the above estate for the Florida Estate Tax is required
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~ by any person this Certif cate 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 ~
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date fir9t above written.
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` ~~."J~r.*^ :`-t~~'~f~s,'~~. t
~ ,~~n~',~-`~t . Executive Director
~ ,s~:_;.t~~~ ;.,a. ~A ~`~~s Department of R.evenue
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~ Not valid w?ithout seal affixed .
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