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J THIS IS TO CERTIFY, That in accordance with thc prnvisions of Chapter 198, ~lorida
6tactutes, t6ere has been filed with this office a sworn report or retura for Estate Taxes ae
required by law and on the basis thereof it hae been aecertained the above eatate ie not aub-
ject to the Florida Estate Tax. The issnance of thia certificate. however, ahall not preclude the
assessment and collection of Estate Taxes subsequently determined to be due the State of Florida.
If proof of non liability by che above estate for the Florida Estate Taz ia required by anv
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' person thia Ceriificate may be exhibited as evidence of such non tiability.
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~ Given in quadruplicate~~$ of the State of Florida the date firet above ~
~ written. ~T. =~1~~E COUNTY. FL-A.~ ~
r,L-f:^::7 ~~:,~ic~~L' '
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~ '79 MAR 29 PM 3:57
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` . - f~CGc ~ 'f?t i RH ~ .
' C~ERK CIRCUIT C~ ti~~ or
~ . Department of Revwae
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~ Not valid without szal af f izcd.
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~ I HEREBY CERTIFY that the above is a trne and correct copy aa it appean fcom ~he re-
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~ oorde of thie office.
~ ~~g WHEREpF, I ha~e herc~nto set my hand and the eeal of the Sate of Florida
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~ this 22_ da7 of a r~h ~ A.D.1~=.
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~ ~ S~'1 ~ C6i~f. Estate Tu Bunsu . ~
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