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STATE OF FLORIDA ~
DEPARTMENT OF REVENUE ~
ESTATE TAX BUREAU ~
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• ~ TALLAHASSEE. FLORIDA 32304
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""RR" co~,'R. NONTAXABLE CERTIFICATE AND RECEIPT
fXECUTIYE DiNECTOR
FOR ESTATE TAX
TO: Betty_ B. Green, Spouse E~~~ 5'~
c/o Lawyers Title Insurance Corp.
- 321 South 2nd St.
Fort Pierce, FL 33450 Re• The E~cate of
~ Palmer Fredrick Green
~ Dec~ased.
Re~ident of Boone
I
k County, Indi ana
~ Date: 1-4-78
=5.00 Fee Received:
TNIS I~ TO CERTIFY, That in accordance w?ith the provisiona of Chapter 198,
~ Florida 3tatutea, there hae been filed with this office a aw?orn report or return for Estate
~ Taxes a8 required by law and on the basis thereof it has been ascertained the above e$tate
is not subjeet to the Florids Eetste Tax . The iasuance of thia certificate, how?ever, shati
not preciude the sssessment and colle~tion of Eatate Taxes subsequently determined to be -
~ due the State of Florida.
If proof of non liability by the above e8tate for the Florida Estate Tax is required
by any person this Certificate may be exhibited as evidence of such non liability.
Given in qusdruplicate under my hand and the seal of the State of Florida the
~ date firet above w?ritten.
~
~
~ C~_ .
~
' Executive rector
~ Depsrtment of Revenue
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FI~EO AND RECOROEO
~ SL ~UCIE COUNTY FlA
ROCE~ PO11flAS
~ fl ERt. C~ ~UIT ~0
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JaN 10 I 2s PM'?B
~ Not vsiid without sesl affized . ~~9(j19~
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- 280 ~:E 449
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