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~ STATE OF FLORIDA ~ ~ .
DEPARTMENT OF REVENUE
~,d'""~''+ ESTATE TAX BUREAU
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~ TALLAHASSEE. FLORIDA 32304
HARRY 1. COE, JR. NONTAXABLE - CERTIRCATE AND RECEIPT
acECUTtvE me~cTOs
FOR ESTATE TAX
TO: Lauretta V. Chatmon, Spouse
E 3~4ss -
C/0 Olympic Title & Abstract Co.
P. 0. Box 3719
Fort Pierce, Fla. 33450 Re: The Elate of Albert Chatmon, Jr.
Deceased.
Resident of Duval
County, Florida
Date: 12-19-78
=5.00 Fee Received: ~ ~ -
THIS I3 TO CERTIFY, Thst in accordance with the provisions of Chapter -198,
Florida Statutes, there has been filed with this office s sworn report or return for Estate
Taxes ss required by la~? and on the basis thereof it has been ascertained the above estate
is not subject to the Florida Estate Tax. The issuance of this certificate, however, shall
not preclude the assessment and collection of Estate Taxes subsequently determined to be .
due the State of Florida.
~ If proof of non liability by the above estate for, the Florida Estate Tsx is required
by any person this Certificate may be exhibited as evidence of such non liability.
Given in quadruplicate under my hand and the seal of the State of Florida -the
date first above written.
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Ezecntive Di ctor
~Y ~ Department of Revenue
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Not valid without seal affized .
3GGKt~?•r~;c~~ CLERK CIRCUIT COURT
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