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STATE OF FLORIDA ~ ~
~EPARTMENT OF REVENUE
ESTATE TAX 6UREAU '
TALLAHASSEE, FLORI~A 32304 ~~~~~•S~ ~
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J EO STRAUGHN NONTAXABLE CERTIFICATE AND RECEIPT -
°'""T~" FOR ESTATE TAX
TO: Lena M. Anderson, Spouse . ~ 3 2 8 6 3 ~
C/0 Charles E. Becht, Atty. '
P.O. Box 548
Ft. Pierce, FL 33450 <
Re: Tl~e Fstate of Clarence W. Anderson `
Deceased.
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A~ ;~,v~~ ~OU~ Resideut of St . T.ue ie ~
O~~R~ ~c:F1E0 1
Pf~4RP, ~ County,
~ Fl ninlLid
Date: Anri l 7~ 19 7 5
~QS~c~~ $5.00 Fee Received:
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R THIS IS TO CERTIFY, 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
~ Taxes 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 Taxes 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
by any person this Certificate may be exhibited as evidence of such non liabilit~.
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Given in quadruplicate under my hand and the sea! of the State of Ftorida the `
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~ date first above written.
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- Executive Director ~
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. - ~ Department of R.evenue
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~ Not valid w~thout seal affixed . ~
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