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STATE OF FLORIDA ~~`3 _
DEPARTMENT OF REVENUE
..`~f""~'~ ESTATE TAX BUREAU
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",?ReY coy, .IR. NONTAXABLE CERTIFICATE AND RECEIPT
EXECUTIVE DIRECTDR
FOR ESTATE TAX
TO: lIelen B. Harrison, Per. Rep.
C/O Dominic F.Cianciolo E J ~3 4 U 0
16683 Overseas Highway
Key Largo, Flooida 33037
Re: The Estate of Jack C. Harrison
Deceased.
Resident of Monroe
County, Florida
Date: _ Sent. 28, 1979
E5.00 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
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
date first above written.
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Executive Di ector
i~ Department of Revenue
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ST.LUCIE CC:aTY.f l.'.
RGGcR 1'OITRAS
Not valid without seal affixed . CLERK Cl~CUIT C~JR1
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