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~ STATE OF FL.ORIDA
~ DEPARTMENT OF REVENUE
~HE ESTATE TAX BUREAU
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~ ' ~ ; TALLAHASSEE. FLORIDA 32304
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J. ED STRAUGHN NONTAXABLE CERTIFICATE AND RECEIPT
EXEWTIVE DIRECTOR
FOR ESTATE TAX
To: char~otte F. wurz, spouse p 4 5 4 3 9
C/O Smith and Brennan, Atty$.
715 Delaware Ave.
Fort Pierce, FL 33450
He: The F.~tale of Jerome J. Wurz ,
Deceased.
Residcnt o[ St. Lucie
County, Florida _
Date: October 3, 1975
$5.00 Fee Neceived:
THIS IS TO CEBTIFY, That in accordance with the provieions of Chapter 198,
Florida Statutes, there has been filed with this office a aworn report or return for Eatate
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 thia cettificate, however, ahall
not preclude the assessment and collection of Estate Taxes subaequently determined to be
due the State of Florida.
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f If proof of non liability by the above eatate for the Ftorida 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 firat aboYe_tvt~tten .
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Not valid w?ithout sesl affixed .
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