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STATE OF FLORIDA
DEPARTMENT OF REVENUE
~~°ME'~'~~ ESTATE TAX BUREAU
• ~ TALLAHASSEE. FLORIDA 32304
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' lwlrt,r cot, .tR. NONTAXABLE CERTIFICATE AND RECEIPT
FOR ESTATE TAX
TO:
Mary M. Nelson, Spouse E 4 2 ~ tf
C/O C. Norris Tilton, Aty.
P.O. Box 526
Jensen Beach, Fl. 33457 Re: The Estate of Sigurd e. Nelson
Deceased.
Resident of _ Ma t i n
County, ~ ors da
Dale: 4/25/79
- :5.00 Fee Received:
TNIS IS TO CERTIFY, That in accordance with the provisions of Chapter 198,
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 Taz . 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 Estat.. Tax is required
by any person this Certificate may be exhibited as evidence of such non liability.
`
Given in quadruplicates
e~under my hand and the seal of the State of -Florida the
date first above written .
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s '9~s SAY 16 P~1 12~
E zecutive rector
~ nED Alto rsE COFcp[U
TLUC~CflillllY.FIA. Department of Revenue
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