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STATE OF FLORIDA
DEPARTMENT OF REVENUE
d`""''~ ESTATE TAX BUREAU
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J~~ TALLAHASSEE. FLORIDA 32304
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Eo:Tw?uc~M NONTAXABLE CERTIFICATE AND RECEIPT
[~I[CYT1Y[ OIRICTOR FpR ESTATE TAX
TO: Daisy F. Temple, spouse ~ 7 4 9 5 6
C/O C. Norris Tilton, Attys.
P.O. Box 526
Jensen Beach, fL 33457 He• The Escate of
Harold D. Temple
Deceased.
Residcnt of Fraliklil~
County, Massachusetts
Date: December 7, 1976
SS.00 Fee Received:
~ THI3 IS TO CERTIFY, That in accordance rvith the provisions of Chapter 198,
~ Florida Statutes, there has been filed with this office a aw?orn report or return for Estate
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~ Taxes as required by law and on the basis thereaf it has been ascertained the above estate
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~ is not subject to the Florida Estate Tax . The iasuance of this certificste, however, shall
not preclude the assessment and collection of Eatate Taxes subsequently determined to be
due the State of Florida.
If proof of non liability by the above eatate for the Ftorida 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 Florida the
date firet above ~?ritten.
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t . - Ezecut~ve Director
: ~ ~ Depsrtment of Itevenue '
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Not vslid without seal af!"ised . 3
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