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• STATE OF FLORIDA
DEPARTMENT OF REVENUE
ESTATE TAX BUREAU
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~ ` f~ TALLAHASSEE. FLORIDA 32304
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HARRY L. COE, ~a. NONTAXABLE CERTIFICATE AND RECEIPT
EXECIITIYE 0111ECTOR
FOR ESTATE TAX
TO: Hans Paul Berg , Spouse E 12 2 6 4
c/o McDoaald, Kenney & Russakis, Attys.
1600 So. Fed. Hwy.
Ft. Pierce, Fla. 33450 Re• The Estate of Winifred H. Berg
. Deceased. ,
Resident of St. Lucie
County, Florida
i Date: 4/26/78
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` ES.00 Fee Received:
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~ THIS IS TO CERTIFY, Thst in accordance w?ith the provisions of Chapter 198,
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~ Florida Statutes, there has been filed with this office a aw?orn report or return for Estate
~ Taxes as required by law and on the basis thereof it haa been sscertsined the above estate
: ia not subject to the Florida Eatste Tax . The isauance of this certificate, how?ever, shall
~ not preclude the assesement and collection of Estate Tsxes subsequently determined to be
~ due the 3tste of Florida.
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r If proof of non lisbility by the above eetate for the Fiorida Estate Tax ia required
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~ by any person thia Certificate may be exhibited as evidence of such non liability .
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~ Given in quadruplicate undec my hand and the seal of the State of Florida the
~ date firet above w?ritten.
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~ • Depsrtment of ~tevenue
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Not ~alid without aeat affized .
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