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FORM pR-~p)
STATE OF FLORIDA
DEPARTMENT OF REVENUE
ESTATE TAX BUREAU ~
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EO STRAUGNN NONTAXABLE CERTIFICATE AND RECEIPT
GIECUTItlE DIRECTOR FpR ESTATE TAX
TO: Joan P. Falkenstein, seneficiary q~3 2 4 8 3 PP
c/o Lawyers Title Insurance Corporation
Attn: Arif Parupia - - -
321 South 2nd Street Re• The Escate of
Fort Pierce, Florida 33450 ~ Christian G. Falkenstein
Deceased.
Residcnt of Allegheny
County, Pennsylvania
Date: 4/15/77
ES.00 Fee Received: 2/23/77
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E TAI3 IS TO CEBTIFY, Thst in accordance with the provisions of Chapter 198,
~ Florida Statutea, there has been filed with thiaoffice a sw?orn report or return for Estate
' Taxes as required by law and on the basis thereof it has been ascertained the above estate
is not subjec.t to the Florida Estate Tax . The isauance of this certificate, however, shall
not preclude the asaessment and collection of Estate Taxea subsequently detern~ined 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 quadruplicate under my hand and the seal of the State of Florida the
date first above written.
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Not vslid without sesl sffixed . 4*~~~ ~E 3~3$$~9
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