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, OEPARTMENT OF REVENUE ~pCEA
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ESTATE TAX BUREAU C~E~K C+~CU~T CouRt ~
TALLAHA~SEE. FLORIOA 32304 RECORD VERtF1E0.......~..
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Eo sr?~~«~+ _ NONTAXABLE CERTIFICATE AND RECEIPT ~
~ Et~C4TqrE WR[CTOR
_ _ FOR ESTATE TAX
T~~ Virginfa L. Moore, Pstit. - `
~ 5 510 San Diego Ave . D 4 0 4 2~._~~~ -
Ft. Pierce, FL 33450 ~
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Re: Tlie Estate of Hollfs Moore
Deceased.
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_ ' . _ . _ . . Resiilent--of- - - -St:''~tit^i~#, t-. . . ~
County, Fle~vida ;
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Date: July 23 ~ -1975 ~ '
ES.00 Fee Received: _
THIS IS TO CERTIFY, That in accordance w?ith the provisions of Chaptelr 198,
Florida Statutes, there has been fited with this office a aw?orn report or return for Estate
Taxes ss required by la~ and on the basis thereof it ha8 been, ascqrtained the above estate <
is not aubject to the Florida Estate Tax . The issuance of ttiis certificate, however, shall ~
~ot preclude the asseasment and collection of Eatate Taxes aubsequently determined to be ~
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due the 3tate 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'ss~evi$efic~ of such non liability. ~
Given in quadruplicate under my hand and the seat of the $tate of Florida tb,~__ '
date-first~afiay~~'rif~'en:
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~ ~ - Executive Director '
- ~ Department of Revenue ' :
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Not vstid ~vitiiout seal sffixed . -
60ROK PIICE ~1e70-
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