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STATE OF FLORIDA
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OEPARTMENT OF REVENUE QC~,'21
~ `~F sT,,f ESTATE TAX BUREAU
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W a TALLAHASSEE. FLORIDA 32304
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Eo STRAUGNN NONTAXABLE CERTIFICATE AND RECEIPT
EIECUT:VE OIRECTOR
FOR ESTATE TAX
TO: John Vanderlan, Spouse p 56411 ~
C/0 OtLaughlin and 0'Laughlin, Attys.
P.O. Box 3405 ~
Fort Pierce, FL 33450 He: Ti~c h:~tate of Lillian D. Vanderlan
Deceased.
Residcnt of St . Lucie
~ Cou,~cy, Florida
Date: March 17 , 19 7 6
SS.00 Fee Heceived:
THIS tS TO CEftTIFY, That in accordance with the provisions of Chapter 198,
Florida Statutes, there has been filed with this office a 9worn report or return for Estate
Taxes as r.equired 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, shali
not preclude the assessmeni and collection of Eatate Taxes subsequently dete~mined to be
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
E 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 Ehe State of Florida ~he
~ date first above written..
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~ Execuhve Director
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; _ _ Department of Revenue
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~ O LAUC3HLIN AND O LAUGHLIN. ATTORNEYS AT LAW. FORT PIERGE. FIORIDA
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