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STATE OF FLORlDA
DEPARTMENT OF REVENUE
v~tNEfT~~ ESTATE TAX 9UREAU ~ ~
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J EO STItAUGMN NONTAXABLE CERTtFICATE AIVD RECEIPT
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FOR ESTATE TAX y
TO: Marie M. Rebholz, Petit. ;
A 30007 PP' ~
c/o Olympic Title and Abstract Co.
P.O. Box 3719
Fort Pierce, Floida 33450 Re: Ti~e Estate of Joseph V. Rebholz
Deceased.
RP61lICIlI ot Fairfax Co~tr• ~
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Sc~e~ of Virginia
Date: 9-20-76
Sa.00 Fee Rcceived: 8-9~76 ~
THIS --IS TO CERTIFY, That in accordance with the proviaions of Chapter 198,
F'torida Statutes, there has been filed with this office a sworn report or return for Estate
Taxea as required by law and on the basis thereof it haa been ascertained the above e~tate ~
is not subject to the Florida Estate Tax. The issuance of this certificate, however, sha11 ~
not preclude the as,sessment and collection of Estate Taxea 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 leability. ~
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Given in quadruplicate ur~der my hand and the seal of the State of Florida the ~
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date first above written. '
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~ ~ ~ ~ ~ . Executive Director
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Not valid without seal affixed . ~;'-~fi,'~'~•~
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