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STATE OF FLORIDA
OEPARTMENT OF REVENUE ;
~'y~ZNE ~TATE TAX BUREAU , ~
~ ~ ~ • ~ TALLAHASSEE. FLORIDA 32304 y;
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J. EO STRAUGMN NONTAXABLE CERTIFICATE AND RECEIPT z
E7IECYTIYE OIIlECT011
FOR ESTATE TAX
TO: Charles F. Davis, Adrain. '
p 47945
C/0 Mrs. B.C. Davis ~
3229 Seneca Ave.
Fto Pierce, FL 33450 Ke: The F:~tatc of Geneva Davis a/k/a
Decea~ed. ~ennie Davis
Re:iden~ o[ ~oLtheentra~
Cotui l~•, A l,gsk a
Date: Nov _mhPr 10 , 19 ~ 5
~5.00 Fee tteceived:
THIS IS TO CEBTIFY, That in accordance wiih the provisions of Chapter 198,
Florida Statutes, there has been filed with this office a sworn 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 ~lorida Estate Tax. The issuance of this certificate, however, shall
; not prectude the assessment and collection of Estate Taxes subsequentty determined to be
due the State of Florida.
If proof of non liability by the above estate for the Florida Estate Tax is required
; by any person this Certificate may ~e exhibited as evidence of such non liability.
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j Given in quadruplicate under my hand and the seal of the State of Ftorida the ~
~ date first above written . ~ !
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. f._~' . • Executive Director
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~r Department of Revenue
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~ Not valid without seal affixed . NOV ZQ G 39 P~ '7~J `
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