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STATE OF FLORI~A
DEPARTMENT OF REVENUE
+`.y~<NE h,t4 ESTATE TAX BUREAU ~~~~i~~ .
w y TALLAHASSEE. FLORIDA 32304
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EO STRIIUGNN NONTAXABLE CERTIFICATE AND RECEIPT
[1IEC{{TIYE C111tC7pR .
FOR ESTATE TAX
Tp; Bob Barkhimer Exec .
c/o Landis, Graham, French, Ausfeld ~ 7 7 6 41
Sherman & Ford AttyB. ~
F.O. Box 329
Deland, FL 32720 Ke: The F.~tate of -
Mary C. Barkhimer
Decea~ed.
Resiclcnt of Santa Cruz -
Councy, California
Date: 1-17-77'
$5.00 Fee Keceived:
TN13 IS TO CEKTIFY, Thst in accordance with the provisions of Chapter 198,
Florida Statutes, there has been filed with this office a sw?orn report or retutn for Estate
Taxes as required by iaw and on the basia thereof it has been aacertained the above estate
is not subject to the Florida Estate Tax . The isauance of this certificate, however, shall
not preclude the asses$ment and cotlection of Estate Taxes 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 liability.
Given in quadcuplicate under my hand snd the seal of the State of Ftorida the
date first above ~vritten.
- ~'~~D~. ~ 1~
~ ~ Execut~ve Director
- . Depsrtment of Revenue
' ; E LEO AM~ RECORDE~
IUCIE COUNTY flA.
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C~!'~ C4UR? ~
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121o PN'7~
Not vatid without eesl sffixed .
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