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~ STATE OF FLORIDA t3 `
DEP
;RTMENT OF REVENUE ~S9
J~~``~E~'~4 ESTATE TAX BUREAU ~
: - ~ TALLAHASSEE, FLORIDA 32304
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J._EO STRAUGMN NONTAXABLE CERTIFICATE AND RECEiPT
~.«~Try~ aRE~T~, FOR ESTATE TAX ~
TO: Thelma L. Bergenroth, Spouse
C/O Charles g. Becht, Atty, w 2 7 0 3 8 PP
Sun Bank of St. Lucie Co. Bldg:
P.O. Box 548 Re: The Estate of
Fr. Pierce, FL 33450
Deceased. ~uis C. Berqenroth
Reeident o[ St._ LuCie Cout~tr•
5~~~ ~ Florida
~ Dace: December 15,1975
~ Ss.oo F~~ R~Pi~~d: September 25,1975
THIS IS TO CERTIFY, That in accordance with the proviaions of Chapter 198,
Florida Statutes, there hss been filed with this office a sworn report or return for Estate
T~axes as required by law and on the basis thereof it has been ascertained the above estate
is not aubject to the Florida Estate Tax . The isauance of this certificate, however, shall
not preclude the asseasment and collection of Estate Taxes subsequently determined to be
; due the State of Florida.
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f - If proof of non liability by the above estate for the Flori~a Estate Tax is required
~ by an; person this Certificate may be exhibited as evidence of such non liability.
~ Given in quadruplicate under my hand and the seal of the Stat~, of Florida the
~ date first above written . '
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- % , ~ Executive Director
~ Department of Revenue
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~ Not valid without seal affixed . ~ ~ ;
~ , E~~~~~7 Y~~ S 323.592 ~
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