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' FORM W~•701 / .
STATE OF FLORIDA ~ ~
DEPARTMENT OF REVENUE 3
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ESTATE TAX BUREAU ~S '
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" ~ TALLAHASSEE. FLORIDA 32304 ~ i
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~o s*~?~~+M NONTA)CABLE CERTIHCATE AND RECEIPT
c:cwr~vs aacTOR
FOR ESTATE TAX
TO: Carolyn T. Williama, Spouse
f . D 82812
c/o Gerald S. James, Atty.
~ . P.O. Box 30~9 ;
FT. Peiree, Fla. 33450 Re• The Escate of }
' Carrol E. Williams ~
Deceaaed.
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Reaident of St. Lucie ~
Councy, Florida
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Date• 3-24-77
=5.00 Fee Raxived: ,
THIS ~S TO CEItTIFY, That in accordsnce a?ith the provisiona of Chspter 198,
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Florida Ststutea, there has been filed with ttiis office a aw?orn report or return for Estate '
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Taxes ss required by ls~v and on the bseis thereof it has been ascertained the above estste
ia not subject to the Florida Estste Tax . The issusnce of thia certificate, how?ever, ahsll
not preclude the as8easment and coUection of Estate Tsxes subsequently determined to be
duc the Stste of Florida.
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If proof of non liability by the sbove eetate for the Florida Estate Taz is required ;
by any pereon this Certiftcate msy be exhibited ss evidence of such non liability. ~
Given in quadrnplicate under my hsnd and the seat of the 3tate of Florida the
date firat above written.
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: - ~ Ezeeuttve Direetor
~ . , . , _ Ikpartment of Itevenue
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~~iE couM~°rR~i~.
EA IO~R,~a
- - ClEAR CIRCYI COURT
: nc~.- ~n VER~~~ED
Not ~alid ~?ithont ~esl ~ifised. ~R ~ 3 32 ~'T~
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i~ PACE 8~ 362421
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