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FORM~WI- ~02
7 4~ 7~ 8 Q 4 Q STATE OF FLORIDA
DEPARTMENT OF REVENUE ~p~~25
ESTATE TAX BUREAU
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~ TALLAHASSEE. FLORIDA 32304
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J. EO STRAUGNN NONTAXABLE CERTIFICATE _AND RECEIPT
ERECUTWE D~R[C~OR ~ FpR ESTATE TAX ~
TO: Frances M. Bourke Spouse .
~815 S.E. 6 Ct.
Ft.~ Lauderdale, 'FL 33301 A 22685 PP
30~925 Re: The Escate of Edward I. Bourke
FILED ?tit` REC ROEO Deceased. .
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St.IUC~ER
P~
1RAS
RocE. Broward
CLER1~ ~~RCUiT COURt ReaiJenf o[ County,
t1fCflAQ ~FR~f tEO....r"' Florida
; ~ 6 t'~ p1 ~H state oc
~ Q~. December 6, 1974
~ ~[i" Date :
~ November 25, 1974 ~
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~ 55.00 Fce Received • ~
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` THIS IS TO CEftTIFY, That in accordance with the provisions of Chapter 198,`~'
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~ Florida Statutes, there has been filed with this office a aworn report or return for Estate
~ Taxea 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 isauance of this certificate, however, shall~
~ not preclude the assessment and collection of Estate Taxea subsequently determined to be
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~ 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 ae evidence of suc6 non tiability.
~ Given in quadruplicate under my hand and the seal of the State of Florida the
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~ date ~rst above written. ~ '
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~ Execut~ve Director ~
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Department of ftevenue
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_ ~(`,QQ~ED IN THE OfT1CtAl REC'~i:~S
Of in~~~i.;;,, !;^:,,;~TY, f?lirii~A ~
F~ E, i~Q. S`F~OBEL
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~°3 Not valid without seal affixed .
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