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STATE OF FLORIDA
DEPARTMENT OF REVENUE t3,~"~Ir.~
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~THEffjT~ ESTATE TAX BUREAU
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J. ED STRAUGHM NONTAXABLE CERTIHCATE AND RECEIPT
EIIECUTIYE DIRECTOR ~R ESTATE TAX
TO: George E. Furey, Petit . p 519 9 4 -
C/0 Thelma H. Zulch, Atty.
2685 Park Blvd.
Palo Alto ~ CA 94306 Ke: 7'hc H:~tate of
Alice M. Furey
Deccascd. ~ .
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Resi~lent of Santa Clara
f.oun~y, ~ i,~?li~ornia - - - - -
Date: Januarv 14 , 197 6
$5.00 Fec Neceived:
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I 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 Estate ;
~ 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 this certificate, however, shall
~ not preclude the assessment and coilection of E9tate Taxes subsequently determined to be
due the State of Florida. -
If proof of non liability by the above estate for the Florida Estate Tax is required
6y 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 first above written.
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Not valid ~without eeal affixed . 6~~x PAGE ~
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