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STATE OF FLORIDA 1
DEPARTMENT OF REVENUE 4SSO81
~ •4~.TATE TAX BUREAU
'TALt.A'I`fA$SEE; FLORIDA 32304 ~
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""R"" ~ 10~'R NONTAXABLE CERTIFICATE AND RECEIPT
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FOR ESTATE TAX
Edgar A. Brown , Per . Rep . E 5 319 8
C/O Richard D. Sneed, Jr.
700 Virginia Ave. Suite 104
Ft. Pierce, Florida John V. Nelson ~
Re: The Estate of
Deceased.
Resident of Cook
Couagr. Illinois
paw. Auq 30, 1979
:5.00 Fee Received:
TRI3 IS TO CERTIFY, That in accordance with the provisions of Chapter 198,
Florida Statutes, there has been filed with this office s sworn report or return for Estate
Taxea as required by law and on the basis thereof it has been ascertained the above estate
is not subject to the Florida Estate Tsx . The issuance of this certificate, however, shall
not preclude the assessment and collection of Estate Taxes sybsequently determined to be
due the State of Florida.
If proof of non liability by the above estate for a Florida Estate Tax is required
by any person this Certificate may be exhibited as dente of such non liability.
Given in quadruplicate under my hand d the seal of the State of Florida the
date first above written.
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f : ~f Executive Di "tor
` ~ ~ ~ rya.. .K • Department of Revenue
~~.~4~~r, . 458081
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Not valid witltaat seal affized . rtrcmo vea~F~o~-
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