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Form DR-3G6 8TATE OF FLORIDA
Re~. l0!77 DEPARTMENT OF REVENUE
d~ ~"f sr~rt ESTATE TAX BUREAU
y~'~y 4
W - ~ TALLAHASSEE. FLORIDA 32304
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NON-TAXABLE CERTIFiCATE AND RECEIPT
H,?RRY ~oE. ~R FOR ESTATE TAX
t:~cuT~v[ OIII~CTOR
TO: Virqinia Bahry, Per. Rep. E 40932
% Hogan and Hogan, Attys.
600 Old Country Road
Garden City, New York 11530
Re. Tl~e F:state of Andrew Bahry
Decrased.
~;~9 27 Rebident of x ssa»
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~ICtU AAL' P:(;(~{;~V C.OUIIIy. NeW Yo19c .
SLttlC1E CO!lMtY.F`A_ 4/10/79
ROGER POITRAS ~
CtERK CI~CWT C~~~ Date:
h~CG?~ ~~";=I:"'?~`l
t 5.00 Fee Received : Sa1~1e
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TH[S IS TO CERTIFY, That in accordance witl~ the provisions of Chapter 198, Florida
6tatutes, there has beea filed with tliis office a sworn report or return for Estate Taxes as
required by law and on the basis tl~ereof it has been ascertained the ahove . estate is not su6-
ject to tlie Florida Eatate Taa. The issuance of this certificate, however, ahall not preelude 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 Estate Tax ie required by any
~ person thie Certificate may be exhibited as evidence of such non liability.
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{ Given in quadruplicate under my hand and seal of the State of Florida the date first above
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~ Ezecutive Dir tor
~ Department of Revenne
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~ Not valid withont eeai affixed.
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= I HEREBY CERTIFY that the above ia a true and correct copy aa it appean from the re -
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~ II~I lPITNTSS WHEREOF, I ha~e hereunto set my 6and and the seal of the State of Florida
~ ~ 18 of June , A.D. 19 79 .
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~ Lil Smithling, Custodian of ds ~
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