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STATE OF FLORI~A
DEPARTMENT OF REVENUE
'fr "~f ~'E ESTATE TAX BUREAU
TALLAHASSEE. FLORIDA 32304
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HARRV coe, ~R. NONTAXABLE CERTIFICATE AND RECEIPT
EXECUi1VE DINECTON
FOR ESTATE TAX
TO: Paul K. rlordsiek, Per . Rep. E O~~~ O
c/o Valentine GaUaldon, Atty. .
307 t~o. Dixie H~r~.
Palm ~each, Fla. 33401 He• The F~;tate of
' Vada Y.eith
°D Deceased. ~77-2240-CP-06 )
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' ~ - Residcnt o! Falr?~ Ceach
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1,~.! a ~ Florida
. C.ounty,
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~ Date: 1/31/78
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~ _ ES.O(1 Fee Iteceive~l:
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T~1IS IS TO CF.RTIFY, That in accordance with the provisions of Chapter 198,
Florida Statutes, there has been filed with this office a 9worn report or return for FvtRte
i Taxes as required by law and on the basis thereof it has been ascertained the above estate
~ is not suhject to the Florida Estate Tax . The is9uance of tl~is certiCcate, however, shatl
~ n~t preclude the assessment and collection of Estate Taxes subsequently determined to be
~ due the State of Florida.
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~ If proof of non liability by the above egtate for the Florida Estate Tax i9 required
~ by any person thi9 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 w?ritten.
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' ST.Ll1CIEC0UNTY.fIA. EXCCUt1VC n~ eCtOt
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CDl1R Depsrtment of Revenue = t:_; ~~r
; RECGRDV~sir~~n__ 51--~ -
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