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• STATE OF FLCRlDA
DEPARTMENT OF REVENU~ - ~
~U~D~ D IN ~HE PUBLiC
ESTATE TA?C 6UREAl.h :~O~:t:~ <~~i~+ c^. ~t t
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TALI.AHASSEE. FLORIDA 323~ ~ r
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l. ED iTRAU6MN NON • TAXABLE CERTlFi~'ATE At~ ~i~~~w--~ r ~ ' ,
~x1N111rt Or1[CTOA O~' . ~
FOR ESTATE TAX -
T~' The Lewf s State 8ank ~ 1~ 8 6 3
P.O. Box 7S0, 7crust i~ept.
Taliahassee, FL 323~01 ~
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Re: The Estate of pvery T. Harrisna
Exec. •
- Deceasecl. ;
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Resident af f
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Count~, _ Florida
Date: ~Ju~__18, 1974 ~
- S5.U0 Fee Received.
THIS IS ~'O CERTIFY, That in accordance with the proviaio~?s of Chapfer 198, ~
Florrda Statutes, there haa been filed with this office a aworn report or return for Eetate
Tases as r~quired by law and on the basis therea?f it has been ascertained the above eatate
is not subject to th~ Florida Estate Tsx . The iseusnce af thie certificate, however, ahall
rtot pre~lude-the asaessment and coltec~ion of Estate Taxes subsequently determined to be
due tbe State of Florida.
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If proof of non liability by the above eatate for the Fiorida Estate Tax is required
by any person this CErtificate may be exi~ibited as eviden~e of such nun liability. ~
Given in quadruplicate under my hand and the seal of the State of Florida the 1
date first above written: - ~ ~
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' Execut~ve I3irector
- ' ~ ` Department of Revenue -
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Not vsiid without seal sffized .
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