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~"''f" STATE OF FLORIDA
--r"'~ DEPARTMENT OF REYENUE ~
a"~`~~ FSTATE TAX 6UREAU
~ TALLAHASSEE. FLORtDA 32304
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~ NONTAX~?6LE CERTIHCATE AND RECEIPT `
~arqe S. Cl:rk, per. ~R ESTATE TiUC ~
c/o Lawyers Title Insurance Corp.
~ ~ 96659
321 So. 2nd St.
• Ft. Pierce, fla. 33~50
Re: The Eatate oi Freda Mae Clark
Dccea~ed.
Rld1~IIt Of Rnrk ~ ;
COWIt~?~ _ Wi aCLU1~1.A s
70-7_7T . `
~ :5.00 Fee Rax;ved: - ~
" TRIB i3 TO CEQTIFY, Thst in ucordsnct with the provisions of Chapter 298,
Ftorids 3tatates, there hss been filed with this off'ice a aworn report or return for ~tate
Tazes as rrquired by !sw and on the bssi8 thereof it has b~en sscertsined the above` ~stste
is not stbjeet to the i~'lorida Estste Tss . The iasuance of this certificate, however, $hall
nst preet~de !he assesament and collection of Estste Tsxes eubsequently determined to be ~
~ae tl~e Stste ot Florids. , ~
~!t proof of non lisbility by the above eatate for the Florida Eetate Tax ia required ;
bT an~ person _this Certificste ~ay 6~e exhibited sa evidence of euch non liability. :
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Gi~en in quadrnplicate under my hand snd the~ seal of the 3tate of Flotids the ;
date fint sbo~r written.
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: - _ _ ; ~ . Ezecntive tr+ector ±
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- ~ ~ Departnent of R,eoenue
. ° ~ _ ' ~Vli~~a~.7 ST. ~~IE COUMT~R Fu. ~
ROCER POttRAS ~
" ~ ~ , CLERK CIRCUIt COURT ~
. _ ~-Cnan V~PIFIEO ~
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Nst ~ witi~t aes! sifized . ~
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