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en. a/~s , STATE OF FLORIDA 4~~~4
DEPARTMENT OF REVENUE
..d`""'''+ ESTATE TAX BUREAU
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~ ~ TALI.AHASSEE. FLORIDA 32304
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""RRY co~,'R. NONTAXABLE CERTIHCATE AND~ RECEIPT
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FOR ESTATE TAX
TO: Marie H. Rost, Spouse
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c/o Harold H. Goldman, Atty. '
8028 S. Federal Hwy
Pt. St. Laeie, Fla. 33452 Re: The Estate of Karl A. Rost
Deoes~sed. .
Residcnt of St . Lucie
Coua~y, Florida
Date: 9-11- 78
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i ~ i5.00 Fee Received: 3-30-78
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' • THIS I$ TO CERTIFY, Thst in ueordanee with the proviaiona of Chapter 1'8,
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i Florida 3tatutes, there hss been filed ~?ith thia office s aworn report or return for Estate
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~ Tsxes as required by isw? and on the bsais thereof it hse been s~certsined t6e sbove estste
~ is not subject to the Florids Eetate Taa . The iseusnce of this certificste, ho~ever, ahall ;
~ not prectude the sasessment and collection of Estate Taxea subscquently determined to he '
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~ due the State of Florids.
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~ tf proof of non lisbiiity by the above estste for the Florida Estate Taz is required k
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4 by any person thie Certificate may be exhibited ss evidence of such non liabiiity .
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Given in quadruplicate under my hand •snd the seal of the 3tate of Ftorida the ;
date first above written. ~
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