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STATE OF FLORIDA
DEPARTMENT OF REVENUE
ESTATE TAX BUREAU
4
TALLAHASSEE. FLORIDA 32304
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""RR" cot;, .TR. NONTAXABLE CERTIFICATE AND RECEIPT
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FOR ESTATE TAX
TO: Lynnie M.Stombaugh, Widow
C/O Lawyers Title Insurance Corporation E 5 5~ 8 2
9999 S. U.S. Highway 1
Port St. Lucie, Florida 33452
Re: The Fatale of Donald J . Stombaugh
Deceased.
Resident of St. Lucie
County, Florida
Date: Sept. 27, 1979
:5.00 Fee Received:
THIS IS TO CERTIFY, That in accordance with the provisions of Chapter 198,
Florida Statutes, there has been filed with this office a sworn report or return for Estate
Taxes as required by law and on the basis thereof it has been ascertained the above estate
is not subject to the Florida Estate Tax . The issuance of this certificate, however, shall
not preclude 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 is required
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` by any person this Certifecate may be exhibited as evidence of such non liability.
Given in quadruplicate under my hand and the seal of the State of Florida the
date first above written.
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Executive Di ector
Department of Revenue
463301
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Not valid without seal affixed . RccER ~c!?
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