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• ' STATE OF FLORIDA
~ - DEPARTMENT OF REVENUE $
~.,d~""'''}Q ESTATE TAX BUREAU ~ ;
- ~ TALLAHASSEE. FLORIDA 32304 '
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EO fTMUOMM MONTAXABLE CERTIFICATE AND RECEIPT ~
~~T~~ «~~r~ FOR ESTATE TAX f
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TO: Montra Davie, spouse '
D 74714 '
c/o Cerald S. James, atty -
P.O. Box 3089
Ft. Pierce, FL 33450
Re: The Estate of Florence Davis ~
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Deceaeed. i
Residwt of ~ St. Lucie
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~ County, Florida `
p,~; December 6, 1976
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" i5.00 Fee Raxived:
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~ THIS IS TO CEItTIFY. That in accordsnce with the provisions of Chapter 198.
Florida Statutes, there has been filed w+ith this office a aworn report or return for Estste
Taxes ss required by Isw snd on the bssia thereof it hae been ascertained the ibove estate
is not subjeet to the Florids Eatste Tsx . The isauance of this certificate, hoMever, shall
not preclude the ssseesment and collection of Estate Taxes subsequently determined to be
due the State of Florids.
if proof of non lisbility by the above estate for the Florida Estate Tax is required
by any pereon this Certificate msy be ezhibited as evidence of such non liability.
Given in quadruplicste under my hand snd the eesl of the Stste of Florida the
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