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STATE OF FLORIDA
DEPARTMENT OF REVENUE
~ZHf!)~Tf ESTATE TAX BUREAU
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~ ' ry: a TALLAHASSEE, FLORIDA 32304 34(~'S6
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J. ED STRAUGHN NONTAXABLE CERTIFICATE AND RECEIPT ~
EXECUTIVE DtRECTOR FpR ESTATE TAX .
TO• Paul A. Lewis, Sr., spouse ~
~ p 64692 ?
c/o O'Laughlin & O'Laughlin, Attys. ;
P,O. Box 3405
Ft. Pierce, FL 33450
Nc: 'I'hc N:~tace „f Marianne Lewis
Decca~ed. ~
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- H~~i~l~~nt ot Orallge
Cow~cy, New York
Datc: ,July 13, 6
$5.00 Fee I{ecei~~ed :
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~ THIS IS TO CERTIFY, That in accordance with the provisions of Chapter 198,
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j Florida Statutes, there has been filed with this office a sworn report or return for Estate
~ Taxes ~s 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 this certificate, however, shall -
not preclude the assessment and collection of F.state Taxes subsequently determined to be
due the State of Florida. :
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.
Given in quadruplicate under my hand and the sEal of the State of Ftorida the
date first above written .
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~ . - Department of Revenue ,
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Not valid w?~thout aes~~ ze~d;
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