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~ STATE OF FLORIDA
• DEPARTMENT OF REVENUE
• „mot""''~ ESTATE TAX BUREAU
4
r b TALLAHASSEE. FLORIDA 32304
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""RR" c. coc,'R- NONTAXABLE CERTIFICATE AND RECEIPT
execurnrc o~eECro¦ FOR ESTATE TAX
TO: Russell E. flaFFmes, Per. Rep. _ ~ r- •
E 545~~
$Kaftan, Kaftan, Kaftan, ~~an Egeren,
Ostrow $ Gilson, S. C.
200 South Monroe Avenue Re • The Estate of
Green Bay, {v'is . 54301 Kathleen Flamnes
Deceased.
Resident of Brown
Wisconsin
County,
Date: 9/19/79
ES.00 Fee Received:
i
i THIS IS TO CERTIFY, That in accordance with the provisions of Chapter 198,
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~ 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.
4 ~ ' f~
' ~ Executive rector
~ Department of Revenue
• _ ~'Q pry ZG
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'FLtC ~hU ~ -~t,n,t.
f'; ~ SLL'JCIkCJaITY.Fi:..
ROGER P(~?FR:.S
Not valid without seal sffizcd . cF.~x c~r{cui7 cc+ R
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