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STATE OF FLORIDA
pEPARTMENT OF REVENUE
vdtNE.~+~ STATE TAX BUREAU
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b TALLAHASSEE. FLORIDA 32304
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HARRY L. COE, JR. I~IONTAXABLE CERTIFICATE AND RECEIPT ~
exeeunve oiRECroe
FOR ESTATE TAX
TO: Stella E. Patrowic, Spouse
E 4~y,
c/o Harold H. Goldman, aty ~ ` "
8028 S. Federal Hwy.
Pt. St. Lucie, F1. 33452
Re: The Estate of Wi 11 ia~n J . P ~ .*_rowic
Deceased.
Resident of S _ t. ~ ~ e
County, F to r i~_
Date: 4/26/ i 9
:5.00 Fee Received:
THIS IS TO CERTIFY, That in accordance with the provisions of Chapter- 238,
Florida Statutes, 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 subject to the Florida Estate 't'ax . 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.
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E 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.
f ~
Executive trector
Department of Revenue
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