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STATE OF FLORIDA ~Q~B,`~3
~ DEPARTMENT OF REVENUE
a' ESTATE TAX BUREAU
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' TALLAHASSEE, FLORIDA 32304
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~ Eo STR~~~MN NONTAXABLE CERTIFICATE AND RECEIPT
EaEturrv[ o~wECrOw
FOR ESTATE TAX
TO: Ms. Martha H. Davis
111 South 22nd Street
Ft. Pierce, FL 33450 A 2 3 6 6 9 PP
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Re: The Estate of Richard J. Davis ~
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Deceased. ~
St. Lucie ~
Resident o[ County.
Florida
State oI'
i March 5, 1975
~ Date -
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i February 27, 1975
~ $5.00 Fee Received •
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i THIS IS TO CEftTIFY, That in accordance with the provisiona 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
y is not subject to the Florida Estate Tax. The issuance of this certificate, however, shall
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~ not preclude the assessment and collection of Estate Taxes subsequently determined to be
~ due the State of Florida. '
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~ If proof of.non liabitity 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 ~
~y date first above written.
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` ~ ~ Executive Director . ~
~ ~ . ' _ Department of Revenue ~$2~ - '
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z Not valid without seal affixed . ~
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