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STATE OF FLORIDA
_ DEPARTMENT OF REVENUE
ESTATE TAX BUREAU
4
~ ~ TALLAHASSEE. FLORIDA 32304
~
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""R'~ NONTAXABLE CERTIHCATE AND RECEIPT
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FOR ESTATE TAX
TO: James R. Mitchell, Spouse E 410 ~ 7
C/O Braswell & Miller, Atys.
P.O. Box 1637 ~ ~ ~ cn
Venice F1. 33595
~ Re: The Estate of Doro~y ~Mitche;~
-
~ _ Deceased, ° 19 ~
Sar oaa
Resident of ' .i -y
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County, Florida' - - C'
" ~ Date: 4/10/79
~ ~ :5.00 Fee Received
THIS I3 TO CERTIFY, That in accordance with the provisions of Chapter 198,
' Florida Statutes, there hss 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
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.
c
If proof of non liability by the above estate for the Florida Estate Tax is r wired
by any person this Certificate may be exhibited as evidence of such non liability.
a
-Given in quadruplicate under my hand and the seal of the State of Florida the
~ date first above written .
_
E ter. ' - ~ ~~~i G..~-
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~ Ezeentive rector
' - - ~ ~``t~~~''~_,-~ - Department of Revenue rr
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t Not valid without seal af8zed .
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