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p~;W ~ HARRY L COE. JR.
EtECUTIVE OIRECTOA
FINAL CERTIFICATE
~ 1HF s?~rE
ht~y ~ 4 FOR INHERITANCE AND ESTATE TAX
o STATE OF FLORIDA
J.;~c~ TALLAHASSEE NO ~ ~ C Q (1
U U J E.T.
1'u Evelyn E . Olsen Ke. The Estate of Byron F . Olsen
Deceased.
Per. Rep.
Ne:ident of Rock Island
Moline, IL
County, I11inQis
Date: _ 517/79
Date of death: 12/23/77
TN1~ 1~ Tl) CEN"I'1F~', "1•hat in acc•urdanc•e wills the provisions of Chapter` 198, Florida
~tatute~. tl?ere ha, been filed with this office a sworn return fur Estate Taxes as•required by law
in the above nan?ed I•state and that the arinuunt of tax assessed by the State of N'lurida against said
estate was TARFF. ANA ~ ~ nn
Dollars 3.16
It is further certified that the following payments have been made m full settlement of the
E estate tax assessed against said estate:
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May 7, 1979 $ .38 INterest $3.16 Tax in Full
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and that no refund of such tax nor any portion thereof leas been authorized and that no claim
for refund tlur~of is peadin6.
liven in~ quadruplicate under my hand and seal of the State of Florida the date first above
. ~ _
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' r "f`~'~s v`~ ~ Executive Director -
=~~4ra~ Department of Revenue g~ Jr 31~ ,At;i 1~aJ
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