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. STATE OF FLORIDA •
DEPARTMENT OF REVENUE
ESTATE TAX BUREAU
~ ~ TALLAHASSEE. FLORIDA 32304
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""RRY co~,'R. NONTAXABLE CERTIFICATE AND RECEIPT ~
~cECUTtve otRECTO¦
~ FOR ESTATE TAX
TO: Mittie Cooper Ross, Spouse E~ n~~~
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C/O Noel A. Bobko, Aty. -
Post Office Box 1919 '
Stuart, FL 33494
Re: The Estate of Goldie Ross
Deceased. -
Resident of St _ Lucie
County, F lorida
- Date: 3/20/7 9
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~ =5.00 Fee Received: _
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~ THIS IS TO CEftTIFY, That in accordance with the provisions of Chapter 198,
~ Florida 3tatutes, there has been filed with thi~ office a aw?orn report or return for Estate
~ Taxes as required by law and otr the basis thereof it has been ascertained the above estate
~ ia not subject to the Florids Eatste Tax . The iasuance of this certificste, how?ever, shall
~ not preclude the a~aesament and collection of Estate Tazea subsequently determined to be
due the State of Florida.
~ If proof of ~on liability by the above estate for the Florida Estate Tax i9 required
~ by any person this Certificate may be exhibited as evidence of such non lisbility.
~ Given in .quadruplicste under my hand and the seal of the State of Florida the
~ date first sbove ~vrjtten .
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~ . Ezecutive. rector
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# - ~ Depsrtment of R~evenue
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RfCQRD VERIFtFO
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Not •alid withoat seal sH'izcd . 9~~•3•~~
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