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F~ 0~-3M , J. ED STRAU6NN
[ttCY71Vt p1RiCTOR
~ FINAL CERTIFICATE 3~~422
y~ TH[ sr~~
FOR INHERITANCE AND ESTATE TAX
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~ ~ STATE OF FLORIDA
TALLANASSEE p 9 4 8 9.
. • N U. ~..T.
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To Re. The Fstate of {
Laura B. Helseth Arthur R. Helseth
Deceased.
Petitioner ~ Ke~ident of St. Lucie
Ft. Pierce, FL Florida ;
County,
Date: 4-1-76
Date of death: ~ 6-28-73
CR: NC $623.21 '
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THIS IS TO CERTIFY, That in accordance witl~ the pro~•isions of Chapter 198, Florida ~
Stawtes, there lias been filed witl? tlii~ office a sworn return for ~tate 'laxes as reyuired by law
; in tlie abo~-e named E~tate and tliat tl~e amount of tax asse~eJ by LLe State oF Florida againat said j
~ estate was F~E AND NO/100
~ Dollars (a 5.00 ~
~ It is further certified tliat tl~e following payments liave been made in full settlement of the
~ estate tax. assessed against said estate:
s
~ 3,,,,~~2 §
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~ FtLED ~h.~ !~cCC~NOEG ;
~ ST.IUC E ~:::~JNTT FU.
~ March 7, 1974 ~~4~ :..~iT~~s"Rt $305. 77 Tax
ac, , t~ : f
~ January 17, 1975 $325.08 Tax
~ April 1, 1976 ~py ~ Z 39 i'N ~76 ($625.85)~x~n Full '
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" and tliat no refuud of sucl~ tax nor any portion tl~ereof l~as been au~horized and that no claim
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~ for refund~ thereof is pending.
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~ '~Given in~ quadruplicate under my l~and and seal of tlie State of Ftorida tl~e date first above
~ written.~ .
~ . ; ~ :
~ _ S
~ . _ . . ~
~ - -
~ ' ~ , . " Executive Director `
~ - ~ Departm~nt of Revenue ~r '
~ E ~ : t +J~ ~~GE W!) ~
` 1ut ~ alicl without ~eal affixed.