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STUART. ~1.ORIDA'~'~a~
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STATE OF FI.ORIDA '
j ~ DEPARTMENT OF REVENUE ~
l ~tNE ST~TC ESTATE TAX BUREAU ~ ~i
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' ~ ~ry~- ~ TALLAHASSEE. FLORIDA 32304
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J. EO STRAUGMN NONTAXABLE CERTIFICATE AND RECEIPT
Ex[q1T1Yt D111ECT011 FpR. ESTATE TAX
T0~ Marietta Brocke~bank, Execx. p 4 4 3 5 4-
C/0 McRoberts ~ Fenniiican, Attys.
P . 0 . Dr~wer S
Stuart, FL 334~4 Kc: 7'hc I~:.tate of
Francis Attwood 8rockelba
Deceascd.
~{CSII~CtI~ O~ ,~~»tin _
county, F~,..,~ ~
~ Date: SeT±en~er 19' 19 ~ 5 -
$5.00 Fee Neceived: •
TH1S IS TO CEftTIFY, That in accordance with the provisions of Chapter 198,
Florida Statutes, there has been filed with this office a sworn report or return for Estate
Taxes as c~quired by law and on the basis thereof it has been ascertained the above estate
is not subject to the Florida E9tate Tax. The i9suance of this certificate, however, shatl ;
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not preciude the $sseasment and collection of Estate Taxes subsequently determined to be
~ due the State of Florida.
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' If proof of non liability by the above estate for the Florida Estste Tax is required
by any person this Certificate may be e~chibited 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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~ ' Executive Director
' ~ Department of R.evenue
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