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FORM - 603 STATE OF FLORIDA ~n5?~9
DEPARZ~IEI~ OF REVENUE
Certificate of Waiver and Release of Florida Estate Tax Lien
Estate of Residence at time of Death Date of Death
Richard Q. Keyes Florida 12-6-7-4
TO: Name and address of Applicant
Mr. Darrell Fennell, Atty.
P.O. Box 760
Vero Beach, FL 32960 lc
I, hereby certify that the estate tax for the above named estate, has
b~en duly discharged or duly provided for. Wherefore and by reason whereof,
Z do hereby issue this certificate waiving and releasing the lien of t2ie
State of Florida imposed by Chapter 198, Florida Statutes, on the following
described propertylV :
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Lot 27, Block 32, RIVER PARK UNIT FOUR, according to the
plat thereof as recorded in Plat Book 11, Page 9, of the i
public records of St. Lucie County, Florida. ~~S`jr39
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~ Signature ~ Title Date
~ ~ R. Glenn Dixon Chief
~ Estate Tax Bureau 3-24-75
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