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STATE OF FLORIDA
DEPARTMENT OF REVENUE
..~'"f'~'~ ESTATE TAX BUREAU
4
.`J ~ TALLAHASSEE. FLORIDA 32304
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""RR" w~,'R- NONTAXABLE CERTIFICATE AND RECEIPT
ocECUTtve o~secros
FOR ESTATE TAX
TO: William A. Brunkhorst, Per. Rep. E
440L9
C/O Harold H. Goldman, Aty.
8028 S. Federal Hwy.
Pt. St. Lucie, Fl. 33452 Re• The Estate of Edna C. Brunkhorst
Deceased.
Resident of St. Louis
County, Missouri
Date• 5/16/79
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=5.00 Fee Received:
THIS 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 Tax . The issuance of this certificate, however, shall
f
not 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 estate for the Florida Estate Tax is required
~ by any person thi$ 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.
E ~ Executive rector
Department of Revenue
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Not •alid without seal affixed . r,-.~, a
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