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STATE OF FLORIDA
DEPARTMENT OF REVENUE
_ . ESTATE TAX BUREAU ,
TALLAHASSEE, FLORIDA 32304
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1 EO STRAUGHN NONTAXABLE CERTIFICATE AND RECEIPT
EwCCUTrvE WREtTOR ~
FOR ESTATE TAX
TO:
Ruby M. Layf ield , Execx . ~ 3 2 7 21
C/0 Gerald s. .Tames, Atty.
P.O. Box 3089
Ft . Pierce, FL 334S0 Ite: Tl~e F.state of
Simeon R. Layfield
fIIED a?~~' ~E~QR~rE~ Deceased.
S?. ROG~R SRAS`~ ~ .
~l.Eax ~D~RT Resiclent of Upshur
RECQF~ Y--n~FifD .
43 ~+~5 County, _ West V? rg~ n~ a
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. Date: April 3, 1975
3os48s
$5.00 Fee Iteceived:
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THIS IS TO CEftTIFY, That in accordance with the provisions of Chapter 198, ~
' Florida Statutes, there has been filed with this office a sworn report or return for Estate ;
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~ Taxea as required by law and on the basis thereof it has been ascertained the above estate
f 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 Taxea subsequently determined to be
~ 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 aboYe written.
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Not valid w~thout seal affixed .
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GERALD 3. JAMES. ATTORNEY AT LAW. POST OFFIGE BOX 3068. FORT PIERCE, FLORIDA 33450. TELEPHONE 30S48t-2500
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