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FORM pR.7pj Lt ~
- STATE OF FLORIDA ~2~3~ c3 ~
DEPARTMENT OF REVENUE . ~
~J„d`"E'~'~4 ESTATE TAX BUREAU ~
~ _ ~ TALLAHASSEE. FLORIDA 32304 i
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, Eo s*R~~HN NONTAXABLE CERTIFICATE AND RECEIPT
Es[CUTWE OIRtCTpR FpR ESTATE TAX . `
TO:
Burton T. Smith _Spouse ;
los Naran~a avenue ~ A 27 4 7 8~ ~
Port St. Lucie, Florida 33452
Re: The Escate of
Gladys B. Smith
Deceased.
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Reaidcnt o[ St_ T.ur~i e CowUr. 4
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State of F1 ori r~a
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Date: - ~Tanua_rv 29' 1 Q76
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SS.00 Fee Reexived: Tan»A~ 7~~19..76
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; THIS IS TO CERTIFY, That in accordance ~vith the provisions of Chapter 198,
~ Florida Statutes, there has been filed with thia office a sworn report or return for Eatate 4
j 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 certificate, however, shall _
~ not preclude the assessment and collection of Eatate Taxes subaequently determined to be :
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due the State of Florida. ~
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~ If proof of non liability by the above estate for the Florida Estate Tax is required #
by any person this Certificate may be exhibited as evidence of such non liability. ~
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Given in quadruplicate under my hand and the seal of the State of Florida the '
~ date first above written.
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n _ A Executive Director
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~ Not valid~ wet~out seai affixed . FEO Z~ 11 PN ~6 ~
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