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8TATE QF FLORIDA
DEPARTMENT OR REVENUE
EsT~TE Twx eu~u
TALLANA88EE. FLORIDA 3204
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~ Tex - _ ~ ~
To; barriet Gilman, Exec. p 95129 ~ ~
c/o Robert F . Renaud, Atty . n; ?
96 W. Grand St. _ ~
= ='='n
o ~ of
Elisabeth, N. J. 07202
Res The Fstate of gylvia Leitses ~
DeCeNed. c - ~
~ ~ $ i
Ra;deot of Union ~ w
~h,, New Jersey
p~Le; 9-22-77
=5.00 Fee Received: E
THIS IS TO CERTIFY, That in accordance -with the prorisions of Chapter 198,
Florida Statutes, there has been tiled with thin office a sworn report or retrrn for Estate
Tasa ss ~+equired b~ liw and on the basis thereof it-.has been ascertained the shore estate -
is not w~eet to tMe Florida Estate Taz . The iawaace of this certifieite, however, shall
not pe+eetude the assessment and collection of Estate Ta:es subsequently detereined to be
due the State of Florida. ;
If proof of aea liability by the shore estate for the Florida Estate Ta: is required
b~ aa~? penoa this Certificate nay be ezhibited as evidence of such non liability.-
Given in quadruplicate under spy hand and the seal of the State of Florida the
f
date tir~t shore written. -
E:ecutire rector '
Deosrt¦~ent of B,erenne
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Not slid without seal affi:ed .
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83.5 P~ 845