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STATE OF FLORIDA
DEPARTMENT OF REVENUE
ESTATE TAX BUREAU
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~ ' hr - S~ TALLAHASSEE. FLORIDA 32304 '
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ED STRAUGMN NONTAXABLE CERTIFICATE AND RECElPT
[i[WTIY[ OI~[CTOII FpR ESTATE TAX _
TO• Donald L. Sicapson, Exec.
• c/o Abstract & Title Corp. ~ 8 6 0 O 1
8500 So. U.S. #1
Port St. Lucie, Fla. 33452 _
Re: The Eatate of Julie Simpson
Deceased.
Residcnt of Lake
County, Oh io
Date: 5-2-77
ES.00 Fee Received:
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{ THIS IS TO CEBTIFY, That in accordance with the provisions of Chapter 198,
~ Fiorida 3tatutes, there has been filed with this office a sw?orn report or return for Estate
~ Taxes aa required by law and on the basis thereof it has been ascertained the above estate
~ ia ~ot eub~ect to the Flor~da Estate Tax . The issuance of thra certificate, however, shall
not preclude fhe assessment and coliection of Eatate Taxee subsequently determined to be
due the State of Florida.
If proof of non liability by the above estate for the Florida Estate Tax i9 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 Lhe State of Florida the
date ficst sbove w?ritten.
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~ Execut~ve Director
~ ~ Department of Revenue -
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~ i; ftLEO AM~ RECORpEO ~
. ST. ~UClE COUNtY ftA. V\
~ ROCER PO11RA4
- Cl ~P,K Ct~CUIt CQURT ~
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Nnr 11 2 3s PM'77
Not valid without sesl affixed .
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