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Fo.m DR-306 STATE OF FLORIDA
Rev. io~» DEPARTMENT OF REVENUE
y~.NE:>,re ESTATE TAX BUREAU
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TAL A58EE, FLORIDA 32304
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NON-TAXABLE CERTIFICATE AND RECEIPT '
HARRY L. COE..1R. FOR ESTATE TAX
tttCYT1Vt DIR[CTOR
TO: R. Steven Poladek, Exec. _
C/0 R. Steven Poladek
1 North LaSalle Street A41980 PP
Chicago, Illn 60602
Re. The Estate of Ruth Barton
Deceased.
Resident of Cook
County, I~ ~ ~ not s
Date: 1/25/79
i 5.00 Fee Received : 1 / 2 / 7 9 -
THIS IS TO CE TIFY, That in accordance with the provisions of Chapter 198, ):lorida
6tatutes, there has been filed with this office a sworn report or return for Estate Taxes as
required by law and on the basis thereof it has been ascertained the above estate is not sub-
ject 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 gcal of the- State of Florida the date first above
written. - - ~ . ~ ~ , Vii. -
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. ~ K~ _ ~ Fsecntive Di or
i ~ Department of Revenas
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r Not valid without seal affixed
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I HEREBY CERTIFY that the above is a true and correct copy as it appears fcom the re
t
~ cords of this offiee.
IN WITNESS WHEREOF, I have hereunto set my hand and the seal of the State of Florida
this 2 3 day of February , A.D. 19 ~ 9 .
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RECO?D & RETU';~i T0:
~r- Gei"'::~~. Y~~~.~, - • Lil Smithling
~ (=y~ 11 ~ ' Custodian of Records
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Florida Department of Rev ue
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300K W~ aACE1748
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