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fM~ D11 )O1 - EO STRAUGHN
Citculw[ D1wtc~0¦
~ ~NF i~~~F FINAL CERTIFtCATE
FOR INHERITANGE AND ESTATE TAX
s ~ ~ STATE OF FLORIDA
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TALLAHASSEE A 2 0 4 9 4
U. E.'1.
1o Malcolm M. Van Cleave Ke. 'The ~cace o( Norma Van Cleave
Uecea~ed.
Son Ne~ident ui Marion _
Indianapolis, IN (;~uncy, _ Indiana
Uate: _ 3/22/78
Date of deat}~; 7/15/75
'I'lll~ "!~l_l CEI~'fll~~l~. 'I'liat in ac~•ordancr witl~ thc pro~~i;iun; uf (:hapter 198, Florida
~tatute-. ther~• lia. bern fileii witl? this ufficr a~NOrn re~turn tur f~:•tatc '1'axr~ a: re~~tiired by law
in the ab~»r t~aiurd ~~•tatr aud ~hat thr :~u?ount uf t:~x a:•r:;c~l b~• thr ~tate ~,f ~'IoriJa :~~?ain~t ;aid
e:tate ++~as T~NTY FOUR AND 41/100
Dollars (S 24. 41
It is further cettified that the folluN~ing payment~ l~a~e ~een made in fuU settien~ent of the
estate tax assessed against said estate: ~
February 16, 1978 $ 5.00 Tax
March 13, I978 $2.19 Interest $19.41 Tax '
" 2.19 Interest 24.41 Tax ~n Full -
.F p ~t(p~#f&C~RUED
tUC~E COWCTY ft~ ~
RC:~~q P11T4t.5
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39~'96~
and that no refund of sucl~ tax nor any portiori thereot lias been authorized and that no claim
[or refund tl~ereof is pending.
Gi~~ea jn yuadruplicate under ~ny hand and seal of tl~e State of Florida the date first abore
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writtch. ~ ~ .
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, _ , aoox 284 Pac~ 3~Z _
' ~ Executive Director .
~ . - Department of Kevenue
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1\ut valid withuut ~eal affized.
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