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_ STATE OF FLORIDA 4~0~00
DEPARTMENT OF REVENUE
ESTATE TAX BUREAU
~ TALLAHASSEE. FLORIDA 32304
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41a~'a NONTAXABLE CERTIFICATE AND RECEIPT
EXECDTIYE DIRECTD~
FOR ESTATE TAX -
'r0: Harold - L. Gross-8pnu Rep. - E 5 3 2 8 8
Harold H. Goldman
8028 S. Federal Hwy. _ -
Pt. St. Lucie, FL 33452 Re: The Estate of Winifred E. Gross ~
- Deceased.
--Resident of Broome -
County, New York -
Date• 8/31/79
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_ =5.00 Fee Received: ~ _
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- THIS IS TO CERTIFY, That in accordance with the provisions of Chapter 198,
Florida Statutes, there has been filed with this office a s~?orn report or return for Estate
Tazes as required by law? and on the basis thereof it has been ascertained the above estate ~
is not subject to the Florida Estate Tsz . The issuance of this certificate, however, shall
not preclude the assessment and collection of Estate Tazes subsequently determined to be
due the State of Florida. - ~ ~ -
- If prs?of of non liability by the above estate for the Florida Estate Taz is required
by any person this Certificate may be exhibited as evidence of-such non liability.
Given in quadruplicate under my hand and the seal of the State of Florida the
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date-first-abov~w?ritten.-------------
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- • Ezeeutive Di for
. y ~ ~ ~ " v ~ Department of Revenue
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x- F. ~ t _ ~ 460'700
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1919 SFP 28 A!{ I1: 43
FIlEO AH~J FECUKQEO
gT. UCIE COUTITY.Ft-A.
NOI Valli without seal afCized. R~GER POITRAs
CLERK CIRCUIT CO~tT~
RECORD ~'EA`FIFQ.
aoox31? PtGE~~