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STATE OF FLORIDA
DEPARTMENT OF REVENUE
.,d'M~'"'+4 ~ ESTATE TAX BUREAU
~ ! ~ TALLAHASSEE. FLORIDA 32304
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HARRY L cor, JR NONTAXABLE CERTIFICATE AND RECEIPT
EXECYTIYE GIREGI9R .
FOR ESTATE TAX
TO: ~
Shirley P. Groover, Spouse E 4 O$ 3 O
C/O C. Norris Tilton, 14ty. s
P.O. Box 526 ~
Jensen Beach, Fl. 33457 Re: The Estate of Winford Guthrie Groover
DeceaRed.
t
Resident of Ms+rt i n
County, Fl~r~ ~a
Date: 4 7 9
I
I'~ =5.00 Fee Received
THIS IS TO CERTIFY, 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
F
Taxes ss required by law and on the basis thereof it has been ascertained the above estate
E is not subject to the Florida Estate Tox . 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 Tax is required
by any person this Certificate msy 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. r
~ -
i`- ~ ~ Executive Di ctor
' - ~ ~ " - - ~ Department of Revenue
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'19 pPR 16 PM
Not valid without seal affixed .
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