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.~sE~ ar~~Y • S~~ 5! T~Z,'U `3C~.
RE: EMORY J. HUMPHREY, Deceased.
Unit 1, Block 2, Lot 15 of South Port St. Lucie as recorded
in Plat Book 12, pages 1 and 2, of the Public Records of
St. Lucie County, Florida.
,
soa+or~. ~o:
STATE OF FLORIDA
, DEPARTMENT OF REVENUE
Jv~tNEST~~~ ESTATE TAX BUREAU .
~ fo TALLAHASSEE, FLORIDA 32304 !
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EO STRAUGNN ~
NONTAXABLE CERTiFICATE AND RECEIPT
`R""Try` «R"*~, FOR EST/jTE TAX ;
TO: ~
John F. Humphrey , Exec . A 2 7 9 4 4~ i
C/O Neill Griffin Jeffries & Lloyd, Attorneys
124-A North 2nd Street Re• The Escate of
Post Office Box 1270 • ~
Fort- Pierce, Florida 33450 Deceased. ~O~ J. Humphrey
` ` Bea;a~o~ of xnox co~u+tr. ;
~~~~e ~ Tennessee
Date: ~x'Ch 16 ~ 1976
: ~J s5.00 E'ee Reccived: February 4,1976 .
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THI3 IS TO CEftTIFY, That in accordance with the provisiona of Chapter 198,
Ftorida 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
i9 not subject to the Florida Estate Tax . The issuance of this certi~cate, however, shall
~ not preclude the assessment and collection of Estate Taxes subsequently determined to be
F ~
' due the State of Fiorida.
~
~ If proof of non liability by the above estate for the Florida Estate Tax is required
s by any person this Certificate may be exhibited as evidence of such non liabili4y.
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~ Given in quadruplicate under my hand and the seal of the State of Ftorida the
~ date first above written.
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. Executive Director
~ _ Department of Revenue
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~ NEILL 3RIFFIN JEfFRtES S LLOY~ ~
~F ~'+ARTE~7ED ~
~ V O B07( ~270. FORT PIERGE ~LORIOA 33450 - iEIEPHONE (305; ~64-9200
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