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STATE OF FLORIDA '
DEPARTMENT OF REVENUE
~•.d "`E q ESTATE TAX BUREAU
~ ~ TAI,LAHASSEE. FLORIOA 32304
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J. ED iTRAUfiMN N~NTAXABLE CERTIFICATE AND RECEIPT
[R[CiIT1Y[ W~[CTO~ FpR ESTATE T/U(
Helena M. •
~urchill, Spouse ~ 7 0 312
c/o Brown and Paxton, Attys.
Attn: Charles R. P. Brown -
Post Offiee Box 1418 Re: The Eetate of
Ft. Pierce, FL 33450 Harold P. Churchill
Residcnt of St. Lucie
~ County, Florida
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Date: 10~1-76
i5.00 Fee Received:
~ THI3 IS TO CEBTIFY, That in aceordsnce w~ith the provisions of Chapter 198,
Florida $tatutes, there has been _fited with thia office a aw?orn report or return for Eetate
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Tsxes ss required by law? snd on the basia thereof it has been secertained the above eetate
is not subject to the Florids Estste Tsx . The issuance of this certificate, how?ever, ahall
~ not prectude the asse8sment snd collection of Eatate Tsxea subsequently determined to be
due the 3tste of Florida.
F If proof of non lisbility by the sbove estate for the Florida Estate Tax ie required
by any per8on this Certificste may be exhibited as evidence of such non liability.
Given in quadrnpiicate under my hsnd and the seal of the State of Florida the
date first above writteri.
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_ - - Execut~ve Director
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i' "°T; ~ fLEO AN9 RECpApE
P. iT. WCIC VOWITY fl~.
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~ ' - - . `l ItOGER POITRA= ~
! ~ - t' CLERK CIRCUIT COIIRT
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Not oalid withont seal aifized .
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