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RE: SSTATS OF SAMUEL C. BUNTING~ DECEASED
DATE OF DEATH s August 17 , 19 7 5 a3~ s
Lot 4, Block 4, HIBISCUS PARK, according to the Plat~
thereof, as recorded in Plat Book 8, Paqe 43, Public
Records of St~ Luc County, Florida.
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NONTAXABLE C$RTIF T$ AN~RECEIPT FOR ESTATE TAX
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sORM OR-~Ot ' ~ i .
~ ~ ~ STATE OF• FLORIDA , ;
DEPARTMENT OF REVENUE ' ~
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' ESTATE TAX 6UREAU ~
TALI.AHASSEE. FLORIDA 32304
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l. EO STRAUGNN NONTAXABLE CERTIFICATE AND RECEIPT ~
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°'""T°" FOR ESTATE TAX -
To: s~,~, ,~,e s. s~t~g, s~us. D 4 2 6 4 0 ~ .
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c/0 Naill, Griffin, Jeffriss ~ ~
and L~9Yd, Attys . : ~
P.O. Box 1270 Re: The Eatate oE
Ft. Piercm, FL 3345A Samuel Charls~~ `~,vta~~' ~
Deceased. - . ~
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- ~esiaeut o~ $t _ Lu~il~ '
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Date: Au ~:~t 2 5 a 19 7 5 `
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=5.00 Fee Received: $
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THI3 I3 TO CESTIFY, Thst in sccordance ~?ith the provieiona of Chapter._ 198, ~ i
Florida 3tatotee, there has been filed with thia office s s~?ocn report or return for Estate
Taxes as required by la~v and on the bssia thereof it hss been secertained the above estste ;
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is not subject to the Florids Estate Tax. The iseuance of this certificste, however, shall
not preclude the assessment and collection of Estste Tsues subsequently determined to be _ i
due the 3tate of Florida.
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~ If proof of non liability by the sbove eatate for the Florida Estste Tak is required
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by any per~on thia Certificate may be exhibited as evidence of srch non liability.
~ Giyen in quadruplicate under my hand and the sesl- of the Stste of Florida the
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date first above ~?rit~en. ~
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° _ ~ Fxe.cut~oe Director
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~ 'a° Department of Revenue
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~ Not vslid ~vithout seal affixed;. :
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. BoG~ z43 ~~E 871
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NlILL ORIIrIN J[F/RI[s i LLOYD
CNANTEREO
P. O 60X 1270. FOltT VI[RCE. FLORIOA 33450 ~ TELE?MONE 1~05) 464-A200 .
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