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STATE OF FLORIDA
DEPARTMENT OF REVENUE
ESTATE TAX 6UREAU
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f ~ TALLAHASSEE. FLORIDA 32304
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°0~'R NONTAXABLE CERTIHCATE AND RECEIPT
[XEC11TIVE OIRECl+R
FOR ESTATE TAX
TO: Arthur Chavis, Spouse
_ C/0 Edgar A. Brown, Esq. E 3312 3
Lloyd f, .Brown _ '
~P.O. Box 4382
Ft. Pierce, FL 33450 Re: The Estate of Hattie Chavis
Deceased.
Resident of St . Lucie
County, Florida
Date• 1/11/79
F
=.5.00 Fee Received:
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THIS I3 TO CEItTIFx, That in accordance with the provisions of Chapter 198,
Florida Statutes, there has been filed with this- office a sworn report or return. for Estate
Taxes as required by law 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
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due the State of Florida. -
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~ If proof of non liability by the shove 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.
, ~
Executive rector
. ~ - Department of Revenue
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Not valid without seal affised . s~(j~
CLCRK CIRCUIT ~COUR7
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