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t~~"E',r'~~?4 ES?ATS TAX dU REAU Q 'f -
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t~ TALLAHASSEE. FLORIDA 52304
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NON TAXABLE CERTIFICATE AND RECEIPT
HARRY L. COE. JR. FOR ESTATE TAX -
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TO: Lillian M. Sjostrom, Spouse ~ - D 69951
C/O Neill, Griffin, Jeffries
& Lloyd, Attorneys
Attn: Chester B. Griffin
Post Office Box 1270
Ft. Pierce, Florida 33450 Re. The Estate of Franz A. S jostrom
Deceased. -
r;~~D c~ECORDEO Resident of - St. Lucie
- - ~ - ~ 4x803 ~ Florida
County, ~
3~ Date: September 27, 1976
~la ~~c 20 a~ s
- Ga ~ s 5.00 Fee Received : same
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THIS I9r ~~R, ~at to accordance with -the provisions of Chapter 198, Florida
6tactutes, there has been filed with this office a sworn report or return For 1!:state Taxes as
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required by law and on the basis thereof it has been ascertained the above estate is not sub-
ject to the Florida Estate Tax. The issuance of this certificate, however, shall not preclude the
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assessment and collection of Estate Taxes sttbsegnently determined to be due the State of Florida.
I~ If proof of non liability by the above estate for the Florida Estate Taz is required by any
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person this Certificate may be exhibited as evidence of such non liability.
Given in gnadrnplicate ttnder my hand and seal of the State of Florida the date first above
written. - ~ '
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F.:ecntive for
- _ ~ -4~-' Department of Revwne
Not valid Mrithont seal affixed.
I HEREBY CERTIFY that the above is a true and correct copy as it appear from the re -
cords of this office.
IN R/ITNTSS WREREOF, I Gave hereunto set my hand and the seal of the State of Florida
this _ day of Dece~er--, A.D. 19_Z8_.
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