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STATE OF FLORIDA v ;
DEPARTMENT OF REVENUE #
ESTATE TAX BUREAU ~
TALLAHASSEE, FLORIDA 32304 - ~
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, Eo STR~~MN - NONTAXABLE CERTIFICATE AND RECEIPT
°'""T~" FOR ESTATE TAX
TO: Rose M. Fiori, Petit. ~ 39665
C/0 Lawyers Title Ins. Corp.
321 So. 2nd St.
Ft. Pierce, FL 33450 Re: Tl~e Estate of t
George I.~ Fiori '
Deceasecl. ~
Resident of Nassau
County, New York
Date: JulY 11. 1975
$5.00 Fee Neceived:
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; THIS IS TO CE~tTIFY, That in accordance with the provisions of Chapter 198,
i Fiorida Statutes, there has been fited 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 a
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~ is not subject to the Ftorida Estate Tax . The is~usnce of thia certificate, however, shall ~
not preclude the assessment and collection of Estate Taxea subsequently determined to be '
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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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~ Execut~ve Director
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Not valid _wittiout seal affiaed . ~
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