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STATE OF FLORIDA ~
DEPARTMENT OF REVENUE ~~~~Q
..d`""~''~ ES~ATE TAX BUREAU
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• ~ TALLAHASSEE. FLORIDA 32304
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""R~,r co~,'R- NONTAXABLE CERTIFICATE AND RECEIPT
EXECUTIVE OIRECTOR
FOR ESTATE TAX
TO: Gus J. ~Cooles, Spouse E 4119 3
C/O Abstract & Title Corp
8500 South U.S. ~1
Pt. St. Lucie, F1. 33452 Re• The Estate of Ruth R. Kooles
D«xascd.
Resident of Buneombe
County, North Car~lina
~ Date• 4/11/79
=5.00 Fee Received: ,
THIS ~IS TO CEItTIFY, Thst in accordsnce w?ith the provisione of Chapter 198,
Florida 3tatutea, there has been filed with thia office s_s~vorn report or return for Eatate
Tsxes se required by law an~ on the basis the~eof it has been sscertsined the above estate
~ ia not 8ubject to the Florida Estate Tax . The iseuance of thie certificate, how?ever, $halt .
; not preciude the ssaessment snd collection of Estate Taxes subsequently determined to be
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~ due the Stste of Florida.
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~ If proof of non liability by the above eatate for the Florida Estate Tax ia required
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` by any person thie Certificate msy be exhibited as evidence of such non liability.
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~ Given in quadruplicste under my hand and, the seal of the State of Florida the
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` date firet above w?ritten .
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