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STATE OF FLORIDA
PS-2120
DEPARTMENT OF REVENUE
ESTATE TAX 6UREJIU
• ~ TALLAHASSEE. FLORIDA 32304
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°0~•'R NONTAXABLE CERTIFICATE AND RECEIPT .
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- ~ - -FOR ESTATE TAX
Malcolm M. Van Cleave, Per. Rep. A ~
C/O Abstract & Title Corporation - `t U~ - t
8500 South U.S. #1
Port St. Lucie, FL 33452 Re: The Estate of Oscar M. Van Cleave
Deceased. E
• Resident of Marion
County, Indiana
Date• 2/01/79
=5.00 Fee Received: 1/29)'79
THIS. IS TO CERTIFY, That in accordance with ttie provisions of Chapter 198,
Florida Statutes, there has been filed with this office a sworn report or return for Estate
Tazes as required by law and on the bsais thereof it bas been ascertained the above estate
is not sabject to the Florida Estate Taz. The issuance o~ this certificate, ..however, shall.
not preclude the sssessment and collection of Estate Tazes subsequently determined to be _
due the State of Florida. ~ -
If proof of non liability by the above estate for the Florida Esbte Taz is required
by sny person this Certificate may be ezhibited ss evidence of such non liability.
~ Gwen in quadrnpltcste under tuy hand and the seal of the State of Florida the
~ date first above written. _
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Not valid without seal afR:ed. ~
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