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ItE: JBNB p. JENSE~I, oECE~18ED
Lota 6-10, inolwiw, Hlook 73, MutTS CiT7t 808DZVZ8ION, Plat Book 1, paq~
Zl, publio s~anrd~ o! St. Luci~ Couaty, tiorida~ and All o! Lot 8~, avoord-
inq to th~ •ubdivi~ion plat o! 8~otion s, ~n~hip ~6 8onth, Ranq~ ~~~a~t, 8t.
Luoi~ Coua~cy, tlosida. . was prepare
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Gtifiin ,124A No. 2nd St•
~ Fort P~
NONTAXABL$ CERTIFICATE~AND RDCEIPT FOR ESTATS TAX
~ M. s•s •
STATE OF FLORIDA
DEPARTMENT OF REVENUE ,
~ ~,.d ESTATE TAX BUREAU
4
~ ~ TALLAHASSEE. FLORIDA 32304
. ~ - ~ .
HARRY COE' ~R' NONTAXABLE CERTIRCATE AND RECEIPT
acccvrivE cuECro.
FOR ESTATE TAX
TO:
Kathryn Thomas, Person in-Possession E 4 0~ 3 9
C/O, Neill, Griffin, Jeffries
& Lloyd, Atys.
P.O . Box 12 70 Re: The Escate of Jens P. Jensen
Ft. Pierce, F1. 33450
Deceased.
Resident of et. Lucio
Couaty, 8lorida
Date: _ d~6~L7q
=5.00 Fee Received:
' THI3 I3 TO CEitTIFY, That in sccordance w?ith the provieions of Chapter 198,
Florida 3tstutes, there has been filed ~vith this office s sw?orn report or return for Estate
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Taxes as required by Isw? snd on the basis thereof it has been sscertsined the above estste
~ ia not subject to the Florida Eetate Tsx . The isauance of this certificite, how?ever, shall
,
! not preclude the ss8esament and collection oi Estste Tazes subsequently determined to be
~ due the Stste of Florids.
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~ If proof of non liability by the above eetste for the Florida Estate Tsx ia required
! by sny person thie Certificate msy be exhibited sa evidence of such non liability.
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~ Given in quadruplicate under my hand and the seal of the 3tate of Florida the
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~ date firet abore w~ritten.
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~ - ~ ~ - Esecutive rector ,
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: ~ ` ~ . Depsrta~ent of Revenue
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F .~09~34
~ ~ ~79 t~?? 17 AM IC~ ~ 44
~ Not ~alid without seal aifizcd . %
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NCIIL OlII/FIN JE~FRIES t LLOYD _
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CMANTEAED
;j P. O 907c 1270. FONT PIERCE. FIOR~DA 33450 - TELEPMON[ {305) ~64-8200 I~ ~
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