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STATE OF FLORIDA
" DEPARTMENT OF REVENUE f~~EO AMO BEC~k~~t
S1.LUCIE COUNTr F~~? _
sweis RO.~.ER POITRAS ~i
~ °•q ESTATE TAX BUREAU f~f. L:~cu~t cou - ~
~ TALLAHASSEE. FLORIDA 32304 ` ` ' ~ ~
~ Mk~ 10 12 4~ PN'7R
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jR' NONTAX~?BLE CERTiHCATE AND RECEIPT ~5
FOR EST~?TE TAX . '
TO. ~~rt Jackson Exec . - .
' E 07270
c/o Robert J. Gillilaad, Atty. ;
P.O. 8ox 705 `
Hutehia~ou, Ransas 67601 Re: The Estate of f
Jan~tta Relly ~
Deoeased.
Resident of 1t~ne ;
Cptipty, Rangeg
Date• ?f~f78
:5.00 Fee Reo~ived:
~ THIS I3 TO CERTIFY, Thst in aceordsnce with the provisions of Chapter 198, ~
` Florida 3tatutea, there hss been filed ~vith this offiee s aworn report or return for Eatste
~ Tsxes ss required by lsw and on the bsaie thereof it has been ascertained the above estste -
~ is not aubject to the Florida Estste Tsx . The isausnce of this cert~ficate, ho~?ever, shsll ;
not preclude the assesament and collection of Estste Taxee subsequently determined to be
due the 3tate of Florida.
if proof of non lisbility by the above estate for the Florida Estate Tax is required i
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by sny person this Certificate msy be ezhibited se evidence of such non liability. ~
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Given in quadcnptieste under my hand and the sesl of the 3tste of ~lorida the
date first sbove written.
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~ " ~ - : Ikparta~ent oi Revenue
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~ _ a'y~,s., S Lot 21, Block 1157, Port St. Lucie, Section 12,
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~ ~ r~ a subdivision according to the plat recorded
~ ~ in plat bbok 12, page 55, public records, ,
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~g - , , , . St. Lucie C y, ~
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~ . Not ~a1id witi~oot seal sffised .
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