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FORM OR-JO?
STATE OF Fj~cORIDA
DEPARTMENT OF REVENUE
~'"E'~'~ ESTATE TAX BUREAU _ ~
~v ' 45 . TALLAHASSEE: FL`bRIDA ~2304 ~
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' ~ ` ~IONTAX~?BLE~-GERTIFI~A~E AND ~-RECEIPT ~
EX[WTIY[ OIR[CTOR ' i
_ _ _ FOR, ESTATE TAX , s
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T~~ Willie Mae Hopkins , Spuuse ~ ~ p 6 613 4
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C/0 Stanley H. Spieler, Atty.
. 2240 Biscayne Blvd. Ke: The ~eace oF F
' Miami, FL 33137 Ivery L. Hopkins :
Deceased. - .
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~ ' Re~idcnt of St . Lucie
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' Cow~ty, Florida
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~ Date: Auf~ust 3, 1976 - ;
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~ 85.00 Fee Received:
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# THI3 IS TO CEEtTIFY, That in sccordance rvith the provisions of Chapter 198,
~ Florids 3tstutes, there has been filed with this office a sworn report or return for Estate
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Taaes as required by law and on the bssis thereof it has been ascertained the above estate
~ is not subject to the Florida Estate Tax . The issuance of this certificate, however, shall
not preciude the assessment and cotlection of Estate Taxes subsequently determined to be
~ due the State of Florida.
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~ If proof of non liability by the above estate for the Ftorrda Estate Tax is required
by any person this Certificate msy be exhibited as evidence of such non tiability.
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_ Given in quadruplicate under my hand and the seal of the State of Florida the '
date first above w?titten.
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• ~ • Executive Director
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{ - ~ . ~t~! Department of Itevenue
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~ Not ~s~id ~Ehb~~~ se.al affised . _ . 3~ yI. A~I ~
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