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t~" STATE OF FLORIDA ?
DEPARTMENT OF REVENUE
ESTATE TAX BUREAU
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~ . ~ TALLAHASSEE. FLORIDA 32304
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C0~ ~R- NONTAXABLE CERTIFICATE AND RECEIPT
EXECYTIVE O1~ECiOR
~ FOR ESTATE TAX
TO: A.e~,ce szaa6, spoua e A 4~ 7 2~ PP
C/0 GUV F.inanc.~a~ Conpona.t~.on
A#n : Cheny~ W. W.~.~.e.i.amd _
1111 Sou~h Baybhone ~x.ive Re: The Eac,~ce oi R.iehand A. Szaa6
M.iam~., FL 33131
Decessed.
Resident of B ea v eh
County, ~ Pennay~van.i~a
Date: 4/04/79
i5.00 Fee Rece;ved: 3/ 15 / 7 9
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i THI3 I3 TO CERTIFY, That in aecordanee ~?ith the provisiona of Chapter 198,
; Florids 3tatutes, there hss been filed with this o~ce a aworn ~eport or return for Eatate
~ Taxes ss required by law? and on the bssis thereof it hse been ascertained the above estste
E is ~ot aubject to the Ftorida Eetate Tsx . The issusnce of this certif cste, how?ever, shall
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E not preclude the aeeeeament snd collection of Eatate Tsxes subsequently determined to be
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~ due the Stste ot Florids.
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~ If proof of non liability by the above eetate for the Florida Estate Tsx is required
by any pereon thia Certificste may be-exhibited ss evidence of au~h non liability.
Give~ in quadrnplicate under my hsnd and the aeal of the 3tate of Ftorida the
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~ date first sbove written.
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` ~ • ~ ~ Executive rector
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- , , . . D~psrtment oi Revenue
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: ~~~E~~ :.~a~ ~'.ECORDEd
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~ Not ~slid without seal affized . g~j ~
F v R 7 ~ 744 ~
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