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STATE OR FLORI~~~ R;:`: ; t; s' ~
. OEPARTMENT OF REVENUE
M
M ESTATE TAX BUREAU i,
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• TALI.AHASSEE. FI.ORID~-~!lA~~ ~
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~o s*~~~N NONTAXA6LE CERTlFICATE AND RECEIPT -
FOR ESt/1TE TAX
TO: Mary wa~e~cy, ~ ~ D 2 0 5 5 g
C/O Seott & Tilt.o~a,, Attyo.
P.O. Box 526 .
JeuOe~ Haaeh, FL 33457 ~8: -
~Tilli~t ~T. ~3~tl~ky -
Deccasal.
I{csidcnt of _._____~Msar~~~,
COUlity, 17'1 nr; da .
~ Date: Aetober 11. 1974 ~
. iS.00 Fee Rcceived:
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TrtiiS IS TO CFR7'iFY, That in accordance with the provisione of Chapter I98,
t~'lurida Statutes, there hae been filed with this offtce s sworn report or return for F.state
Taxee as requir~d by law and on the bssis thereof it hae been ascertained the above estate
i9 not subject to the Florida Eetate Taa. The iseuance of this certificate, however, shalt
not preclude the asses$ment snd eollection of Eatate Taxes eub8equentty determined to be
due the 3tate of Ftorida.
If proof of non liability by the above~:eetste for the Florida Estate Tax is required
by any peraon this Cert~ficate msy be exhibited ss evidence of such non liability.
Given in quadrupticste under my hsnd and the eeat of the State of Florida the
date first above ~rritten. ~
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~ • ~ Execuhve Ditector
~ ~ . "''tfepartment of Itevenue ~
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' ' i•f~iRT I N CQIJNT
Y~R~~
Not valid w?ithout seal affixed. '74 p~~ 2~ A~# 24 •
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