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FORM - 603 STATE OF FLORIDA '
DEPAR'1MENT OF REVENUS '
31'~~85
Certificate of Waiver and Release of Florida Estate Tax Lien
Estate of Residence at time of Death Date of Death
Clifford Lowell Wagner Florida 2-26-72 .
TO: Name and address of Applicant ~
Mr. Charles R. McKinnon, Atty.
P.O. Box 760
~ Vero Beach, FL 32960 lc
I, hereby certify that ~he estate tax for the above named estate, has
been duly discharged or duly provided for. Wherefore and by reason whereof, ~
I do hereby issue this certificate waiving and releasing the lien of the
State of Florida imposed by Chapter 198, Florida Statutes, on the following
described property. ~
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° Signature Title Date ;
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: R. Glenn Dixon, Chief .
= Estate T~x Bureau 8-20-75 '
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= BOOK ~ FAGr
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