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STATE OF FLORIDA
DEPARTMENT OF REVENUE
s',rE ESTATE TAX BUREAU
W. j~ ~ 4
} W ' - a TALLAHASSEE. FLORIDA 32304
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J. ED STRAUGHN NONTAXABLE CERTIFICATE AND RECEIPT
EXEWt~YE OtRECIOR .
FOR ESTATE TAX
TO:Thomas J. Kerrins, Sr., Spouse
D 50399
C/O~C. Norris Tilton, Atty. _
P.O. Box 526
Jensen Beach, FL 33457 ~;c: ~f
Mary A. Kerrins
Deccased.
Re.ident of Cook
~;,,~,,,iy, I llinois
Datc: December 16 , 19 75
$~.00 Fee Itecei~•e~l:
THIS 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 ~state
~ Taxes as required by law and on the basis thereof it has been ascertained the above estate
~ is not subject to the Fiorida Estate Tax . The issuance of this certificate, however, shali
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E not preclude the assesament and collection of Estate Taxes subsequently determined to be
due the State of Florida.
~ ili b the above eatate for the Florida Estate Tax is re uired
If proof of non liab ty y q
by any person this Certificate may be exhibited as evidence of such no~~ 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
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Not valid` w?it~iout sea! affixed .
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