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442106
STATE OF FLORIDA
DEPARTMENT OF REVENUE
„d'""'''+ ESTATE TAX 9UREAU
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• ~ TALLAHASSEE. FLORIDA 32304
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""R~r ~R NONTAXABLE CERTIHCATE AND RECEIPT.
cxECUrnc o~acc»a
FOR ESTATE TAX
TO: R. St en Polachek, Executor
C/0 E11 iot Borkson E
P. 0. Box 23800
Ft. Lauderdal FL 33307 Re: The Estate of Bruce Barton
Deceased.
Resident of Cooks
County, I11 inois
Date: - 1/2/79
;5.00 Fee Received:
THIS I3 TO CERTIFY, That in accordance with thc~provisions of Chapter 198,
Florida Statutes, there has been filed with this office a sworn report or return for Estate
Taxes ss required by law! and on the basis thereof it has been ascertained the above estate
is not subject to the Florida Estate Tax . 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 may 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 .
Q t
Executive Di for
De rtment of Revenue
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~ 442106
Not •alid without seal affixed . 'j~ t` Z 5a.;1 1 ~ : 5 0
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