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~ . STATE OF FLORiDA ~ ' <
- • DEPARTMENT OF REVENUE •
y~',,~`"E:r'~q„ ~ ~ ESTATE TAX BUREAU '3~*~
~ ' - ~ `TAtLA~HASSEE. FLORIDA 32304
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J. E~ STRAUGMN ~it3i~ ~ i~kAnLE ~ERTi~ic.i~TE i~?niu RCL~~~
EIEqIT1VE OIRECTOR ~
FOR EST~t7E T~X -
TO: ~thony J. Cappello, Exec.
p 43530
C/0 Brian H. Bibeau, Atty.
435 Commercial St. -
Jtnsen Beach, FL 3345~ He• The F..+tate of
' Anna S. Cappello ~
• " Deceased. ~ ~
Rcsident of y~ St . t-t~~l e
~ Coun~y, .Flnri~a ~
Date: SeTtpmhPr 8 ~ 1475
$5.00 Fee Neceived: .
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i THIS IS TO CEBTIFY, That in accordance with the provisions 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 subject to the Florida Estate Tax . The issuance of this certificate, however, shall
not preclude the assessment and collection of Eatate Taxes subsequently determined to be
due the State of Fiorida. -
If proof of non liabilit~ by the above estate for the Florida Estate Tax is required
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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 . ~~r8~ _ -
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~ ~ ~ Z~ ~ 24 ~H'r~j Executive Director ~
Department of Revenue ;
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• Return to: Brian H. Bibeau, Esq.
' ~ ~t~~~_ ' 435 Comm~ercial St .
t, - ,
Jensen Beach, Fla. 33457
Not vatid without sesl affixed . ( .
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. 800~~ PACE 6~3
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