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STATE OF FLORIDA
QEPARTMENT OF REVENUE
.,d`""''~ ESTATE TAX 9UREAU '
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~o:Ta?uoNN NONTAXABLE CERTIFICAT~ AND RECEIPT
u~aT~~ a~«o~ FOR ESTATE TAX ~
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TO. Luella Colina, Spouee ~ $17 81
c/o Brawn, Paucton ~ Killiame, Atty. ~
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P. O. Box 1418
Ft. Pieree, FL 33450 Re• The Eacate of Jataes Thomas Colina ~
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Attn: Charles R. P. Brown ;
Residcat of g~lton °
County, Ohio ~
Date: 3-11-7 7 3
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:5.00 Fee Received: ~
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THIS IS TO CEEtTIFY, Thst in accordance ~vith the provieio~a of Chapter I98, ~
Florida 3tatutes, there has been filed with thia office a s~?orn report or return for Estate ~
Taxes ss required by law? and on the basie thereof it hss been ascertained the above estste ~
ia not aubject ta the Fiorids Estate Tax . The issuance of thia certificste, how?ever, shall ~
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not preclude the aesessment and coltection of Eatate Taxea subsequently determined to be =
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; due the 3tate of Florida. - ~
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; If proof of non liability by the above estate for the Florida Estate Tax is required `
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' by any person thia Certificate may be exhibited as evidence of such non liability . ;
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~ Given in quadrupiicate under my hand and the seal of the State of Florida the ~
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~ date ficst above a?ritten. -
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! : ' - ~ . . Ezeeutive Director 3
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' ,,~•'4 ~ fILEO AItD ~iECORDED ~
- iT. LUCtE COUNTY FIA. ~
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c CLERK CIRCUIT COURT 3
r • ~~~V RECORO VERIfIEO.~.~.~~- ~
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NA~ I1 ! I a~ AN'1T ;
: Not vsiid without seal affized . =i
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