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HomeMy WebLinkAbout0622 ' ~ ~ORM PR-.m? r- ' ' STATE OF FLORtDA ~ ; DEPARTMENT OF REVENUE s ~Q'~4O?~ ESTATE TAX BUREAU ~ ` ~ ~ TALLAHASSEE, FLORIDA 32304 } ' ~ ~ qo. va ~ i l. ED STRAUGNN NONTAXABLE CERTIFICATE AND RECEIPT - ~ EaECUfnrC W~IECTOR FOR ESTATE TAX TO: Gertrt;de M. Bohren, Spouse D 3 4 4 9 8 C/BOCitizens Federal Savings ~ Loan P.O. Box 3750 . ~ Ft . Pierce , FL 3 34 50 He • Tl~e F.tate of ' Adolph F. Bohren Deceased. Residcnt of 5t. LuCie F Councy, Flora da Date: April 29, 1975 t $S.QO. Fee Received: THIS IS TO CEftTIFY, That in accordance with the provisiona of Chapter I98, Ftorida Statutes, there has been ~led with this office s aworn report or return for Estate Taxes as required by law and on the basis thereof it has been ascertained the above estate ig not subject to the Florida Estate Tax. The isauance of Lhia certi~cate, however, shatt not preciude the assessment and collection of Estate Taxes subsequently determined to be ~ due the State of Florida. If proof of non liabitity by the above eatate for the Florida Estate Tax is required by any person this Certificate may be exhibited as evidence of such non liability. Given in quadrupticate under my hand and the seal of the State of Florida the date firgt above written . r~.~11i " ! • - r: ~ y f~ ~ • ~J?,t'-.i1 ':~.i-~ ~ ,,~~.i - _ ,~t_ t , , , r ~ i~ 3+ ~ ~r, = ~ Execut~ve Director ~ . - ~ • _ r..: ' ' ~ ~ ~ - - ' Department of Revenue ! c~ ~ ,~4,~^ ~~f. •,~t:y~'`~ f LEO ~kL' R 4 . . .'~;;;.ak~.,,s~i~., b~:IUCIE G0~ a~~A: l" .a._, I~••`' . ~J~iF~ rq~~t1 . ~ yy~~;~~~:~' c«?cK~c_~cu~t pol~Ai ~ : . f REf ~F. Yi -;FIEO _ `i~_-.s i~ . ~ .:yL-- . ~ t ~~r i ~ ~6 P~!'75 Not valid without seal affixed . ~oaK~~ ~ 3Q'~'40'~ ~ _ _ ~ ~ ~ _ ~ . . . - _ . . > _ ~ r:~_