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STATE OF FLORIDA
DEPARTMENT OF REVENUE -
~d TM! h~q ESTATE TAX BUREAU •
~ ~ TALLAHASSEE. FLORIDA 32304
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O0~'R NONTAX~?6LE ~ERTiFICATE ~?ND RECHPT
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F~R EST/RTE Ti~?X
TO: ~th L. Rleinhenz . Comnisa oner,
c/o 8nglish, McCauqhan, O'Bryan E 4 7 0 5 5 .
P.O. Box 14098
Ft. Lauderdale, Fl. 33302
Re; ~e ~y~ o f Robert J. Kleinhenz
. Decea~ed.
Reaidcnt of Montgomery
~ COWIty, _ A?~ i c~
Date• 61~1~ g
~ :5.00 Fee Raxived:
THI3 I3 TO CERTIFY, That in ueordance with the provisions of Chspter 198,
Ftorids Statutes, there has been filed ~vith thie office s aworn report or retucn for Eetate
Tsxes ss required by law snd on the basis thereof it hss been secertsined the sbove estate
is not subjeet to the Fiorids Eatate Tsx . The isausnce of thi8 certificste, ho~?ever, shatl
not preclude the sssesement snd collection of Estste Tszea aubsequently determi~ed to be
due the Stite of Florida. ~
If proof of non lisbility by the above estate for the Florida Estate Tsx is required
by any person this Certificste msy be eithibited as evidence of such non liability.
I; Given in quadruplicste undec my hand and the seal of the 3tate of Florida the
~ dste firat sbove ~?citten.
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~ Drputment of R~evenue
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P. O. 8wc 14098 ;
~ Eort laa~Msle~ Fla. 33302 i
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