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STATE OF FLORIDA i~F~~~ ~
DEPARTMENT OF REVENUE `
~ ESTATE TAX BUREAU t
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~ TALLAHASSEE. FLORIDA 3230I
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~ NONTA~UIBLE CERTIFICATE AND RECEIPT #
FOR ESTi~TE T~?X ~
TO: Mary M. Sellards, Pers. Rep. - -
• D 88155
96 5209 3. Indian River Dr.
Ft. Pierce, Florida 33450
Re: T6e Estate of Jamee F. Pasawater ~ ~
Deoea.ed. •
~ Reaidait of s t_ Luc ie
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Countjr, Fiorida ;
pate: 5/25/77
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~ :5.00 Fee Raxived: ~i0 RSAL $STATE
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f~ TRI$ IS TO CEQTIFY, Thst in ueord~nee with t~e provisions of Chapter 198,
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Florida 3tstntea, there hss been filed with thia office s swonc ~eport or return for Estste ~
Tszes sa required by Isw and on the bssis thertot it has been secertaiaed the above estste -
is not anbject to the Fiorids Estste T:a . The •ieansnce of this certificste, ho~vever, shsii~ i
not pnelnde the assessment sad collection of ~state Tiscs subsequently determined to be ~
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due the Stste of Florida. ~
It roof of Aon lisbilit b the above eetate for the Florida Estste Ta: is r uired ~
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by sny perso~ this C~rtificate may be ezhibited ss eviden~e of such non lisbilitq . ~
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Given in quadrnplicate under my hsnd:~snd the seal of the Stste of Florida the ~
date first above written, .
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