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STATE OF FLORIDA ~
, OEPARTMENT OF~REVENUE
ESTATE TAX BUREAU
" ' TALLAHASSEE. FLORIDA 32304
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l EO STRAUGNN NONTAXABLE CERTIFICATE AND RECEIPT
t~ICCU~WE WA[CTpA
FOR ESTATE TAX
TO: Edithe Samanchik, Petit . D 3 2 7 4 6 ~
C/0 Thurlow & Thurlow, Attys.
P.O. Box 106
Stuart, FL 33494 Ke: Tlte ~tate of
William G. Samanchik
Deceased.
- Resident of Passaie
Couuty, New Je cpy
~ Date: _ April 3. 1975
55.00 Fee Received: ~
TH1S IS TO CEBTIFY, That in accordance with the provisione of Chapter 198,
Florida Statutes, there has been filed with this office a aworn report or return for Estate
Taxes as required by law and on the basis thereof it has been ascertained the above estate
is not aubject to the Florida Estate Tax. The iseuance of this certificate, however, shall
not preclude the assessment and collection of Estate Taxea subaequently determined to be
due the State of Florida.
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 liability.
Given in quadruplicate under my hand and the seal of the State of Florida the
date first above written.
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Not valid without seal affixed .
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, BOOK P11t.
EXHIBIT "B"
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