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STATE OF FLORIDA ~
DEPARTMENT OF REVEiVUE
y~ZMEtT,~Tf E~TATE TAX BUREAU 8Z'~4 -
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' N~ TALLAHASSEE. FLORIDA 32304 •
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J. E~ STRAUGHN NONTAXABLE CERTIFICATE AND RECEIPT ;
ExE~,T~YE o~pE~TOR FOR ESTATE TAX ~
T4= Martha June S aine Level , Petit . D 6 3 2 9 2 '
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c% r~cc ar ty aria rticc ar ty, At.tys . , ~
P.O. Box 4412 '
Fort Pierce, FL 33450 Kc: 7'hc F:.tate of Madeline V. Saine
~ ~ Deceased. ~
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Rc:i~lcnt ot St _ Lncie ~
Cow~ty, F1 orida
Uatc: June 21, 197 6 _ ~
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SS.00 Fee Kecei~•ed: ;
I~ ~ THIS IS TO CF.RTIFY, That in accordance with the provisions of Chapter 198,
Florida Statutes, there has been filed with this offtce a sworn report or, return for F.state
Taxes as required by law and on the basis thereof it has~ been ascertained the above estate
~ is not subject to the Florida Eatate Tax. The issuance of thia certificate, however, shal! `
not preclude the assessment and collection of Estate Taxes subsequentty determined to be
due the State of Florida. '
~ If proof of non liability by the above e~tate for the Florida F.state Tax is required
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~ by any person this Certificate may be exhibited as evidence of such non liabitity.
~ Given in quadruplicate under my hand and the seal of the State of Florida the
~ date first above written.
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~ - _ . ~ ~ ~ Executive Director
r ^ Department of Revenue ~E~ ~~rt~ R~coKOEo
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~ - : ~ C~CRK CifiCU1T COURT
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Not valid without seal affixed . ~822~~
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