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- STATE OF FL.ORIDA ~
DEPARTMEt±R: O~,RENE~ItJE~~
~ ""'~«o _ ESTATE ~'AX 6UREAU -
~ - ~ , TALLAHASSEE. FLORIDA 32304
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J. [D fT11AYOMN N~~~ C~~V/~~ ~D R~~~
4~[OYT11K MIIL~TOR
FOR EST~lTE ~-T/1X .
Tp: Bleanor A. Harrisoa, Spouse •
W 8 Aarr~B~ , _ r ~ 3 6 5 8 8 ~
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P.O.Hox191-
Jenaen Beach, Fla. 33457 ~
Re: 'I1~e Estate oi William 8. 8arrison
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- Deoeaaed. '
Reaident of Pasoc
~~I~ ~~4(t~ County, Florida
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ctE c~+cu~ cou~~ Da~e• 8-23-77
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SEP IZ IZ SO PM ~ ~.00 Fee Raxived: Same
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THIS IS TO CERTIFY, Thst in ueordsnee with the prorieions of Chapter 198,
Florids 3tatutes, there hsa baen 51ed with thia offiee s sw?orn report or return for Estste
Tsies ss required by law snd on the basie thereof it hse been sscertsined the above estste
is not subjcet to the Florids Estste 'Ciz. The issnsnce of this certifcste, however, shall
not pnciude the assess~aent and cotlection of ~tste Tssea subs~quently determined to be
due the State ot Florida.
tt' proof of non lisbility by the sbo~e estate for the Florida Estste Tsx is required
by sny~ petson thia Certificste may be exhibited as evidence of such non liabitity.
_ Given in qnadcnplieste under my hsnd and the ~cal o~ the 3tate of Florids the
date ~irst sbove wrritten.
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- Depsrta~ent oi R~venue
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Not ~alid withont seal a~lized . .
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60oK~~ PAiE ~
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