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STATE OF FLORIDA ~~O~O
OEPARTMEN7 OF REVENUE •
.,d`""'''~q ESTATE TAX BUREAU
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~ TALLAHASSEE. FLORIDA 32304 ~
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EO STMUGNN NONTAXABLE CERTIFICATE AND RECEIPT - -
cxccuTivE asccro~
- FOR ESTATE TAX -
TO:
Alva S. Skripak, Execx. d 6 9 J~ ~ J~
c/o Sryan, Robleqard & Brown, Attys.
Attn: I~lr. 8dgar A. Brown Re: The Estat~ of
Post Office Box 3230 Robert C. Skripak
Ft Pierce, FL 33450 p~~,
Reaident of Rensselaer .
County, Ne~ York
Date: 9-21-7~i _
=5.00 Fce Received:
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~ TAIS IS TO CEItTIFY, Thst in accordsnce w?ith the provisiona of Chapter 198,
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~ Florida Ststutes, there hss been filed with this office a sw?orn report or return for Estate
~ Taxes ss required by la~? and on the bseis thereof it hss been ascertained the sbove estate
~ ia not subject to the Florida Estste Tsx . The isauance of thia certificate, how?ever, shall =
~ not preclude the assesament and coliection of Estate Taxea subsequently determined to be
~ due the State of Florids.
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If proof of non liability by the above estate for the Florida Estate Tsx ia required
by any person this Certificate may be eahibited as evidence of such non liability.
Given in quadrnplicate under my hand and the sesl of the 3tate of Florida the }
date first sbove written. . ~
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- r ~ Ezecnt~ve Director
- _ . . _ , . Department of Revenue ~o
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- - - - ` RECORD VERIilEO - :
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Not ~slid withont seai affi:ed. . ~JG~O
~ba 415
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