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STATE OF FLORIDA
o``~ s~f DEPARTMENT OF REVENUE •~~~r?O?7
ESTATE TAX BUREAU
' TALLAHASSEE, FLORIDA 32304
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J EO STRAUGHN NONTAXABLE CERTIFICATE AND RECEIPT -
EaECUt~YE ~AECTOA FOR ESTATE TAX ~
TO: Helen V. Proulx, Spouse D 3 2 8 3~
C/0 Charles E. Becht, Atty.
P.O. Box 548
Ft. Pierce, FL 33450 ~
Ke: '1'I~c N:.tate of Zotique J. Proulx
Decca~ed.
Re~i~lcnt of St _ i.i~ci e
County, Flnri r~a
Date: A= ri 1 4, 19 7 5
$a.00 Fee Iieceived:
; THIS IS TO CEftTIFY, That in accordance with the proviaions of Chapter 198,
f Florida Statutes, there has been filed with this office a sworn report or return for Estate
~ Taxes as required by law and on the basis thereof it has been ascertained the above estate
~ is not subject to the Ftorida Estate Tax. The issuance of this certificate, however, shall
~ not preclude the assessment and collection of Estate Taxea subsequently determined to be
~ due the State of Florida.
~ If proof of non liability by the above estate for the Florida Estate Tax is required
~ b an rson this Certificate ma be exhibited as evidence of such non liability.
~ y y~ y
~ Given in quadruplicate under my hand and the seal~ of the State of Florida the
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~ date first above written .
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~ Executive Director 3Q'7~~?~ '
~ Department of Revenue ~ ~F_
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~ kOGER ~C•iT$IS
' tlCRfi ~':.CUIT COURT
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Not valid without seal affixed .
~ - BooK239 PACf 336
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