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' STATE OF F'LORIDA ,
DEPARTMENT OF REVENUE
~'"`'n"+ ESTATE TAX 6UREAU 3~i~
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~ TALLAHASSEE, FLORIDA 32304 1
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io:T~uwa+M ~ NONTAXABLE CERTIHC~ATE ~1ND RECHPT
Li[pITIK NIICCTOR FpR ~TATE TAX -
~ro: ~,~u.t $.~~x, p.=. R.p. p 8 9 7 7 2 .
c% M~cDonald i ~Csnn~y , Atty .
St~. Z00
1600 8. ltid. HMy. Re: T6e Fjtate of
Ft. Pierce, Fla. 33450 ~i~t ~~~rO°k
_ Da~ea~ed.
Reaidcnt oi Beav~r
- ~h,, Pennsylvania
D~~: 6-15-77
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f =5.00 Fee Reoeived: _
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THIS IS TO CEKTIFY;- That in ueordsnee witb the pro~iaiona of Chapter 198,
Florids 3btntes, there has been filed with this office s swor~ report or return for Estste
Taaes s~ required by isw snd on the bssia thercof it hss been sscertained the above eatste
ia not aubjeet to the Ftorids Estste Tsx . The iasuance of thi~ certificste, however, shsll
not pnxlude the sssessment snd collection of Estate Tsaes subsequently determined to be
due the State of Florids.
tf proot of non liability by the sbove eetate for the Flerids Estate Taz is required
by any person this Certificste ~ay be exhibited as evidence of auch non liability.
G.iven in qnadrnplicate nnder my hsnd snd the ses! of the 3tste of Florids the
dste first ~~re writte~.
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