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. DEPARTMENT OF REVENUE
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ESTATE TAX 6t~REAU
- ~ TALL.AHASSEE. Ft_ORIDA 31.304
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1 EUSTRAUGMN NON-TAXABLE CERTIFICATE AND 17ECEIPT -
[•ECU~w[ O~Rtt IOw -
FOR ESTATE TAX
~I'~ ~ Henry Haig Admin. C 9 7 9~ 7
1•
c/o David W. McKay, Atty.
P.O. Drawer O
Boynton Beach, FL 33435 The Estate of
Ethel Haig
N
~ Deceased.
Etesidcnt of_ pal~seach
N
~,'OUnty,_ Flnrirla
Date: .T»nc~ 7~ 7 q7~
.,7
$5.00 -$-I:B~ l~ ec Received : same
T}IIS IS 'f ('I~;RTII•`l', That in accordar?cc• w•iih ttie provision9 of Chapter 1Q8,
t'{orida Statutes, there has been filed with this offir~ swum rj~port or rcturtt for 1•statc
Taxes as required h}• law- and on the basis thereof it has been ascertained the above estate
iy not subject to the I''lorida Istate Tax. The issuance of this.certific:~te, however, shall
nut preclude the assessment and collection of hsiat: Taxes subsevuently determined to be
due the- State of 1•'lorida. ,
If proof of non liabilit} b)• the above estate for the FI!~ri~1a tstatc "1'ax is required
by any person this Certificate may be exhibited as eridence of such non liability.
given in quadruplicate under my hand and the seal of the State of i~ lorida the
' date first above written.
~
~7
I•:x~~eutive Director
Department of Revenue
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Not valid without $P~! af~aced.
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~~}ier@~y certify that the }`:~re~:~<n~ is a :
.true cor y rec~-:. in :.,y ofFce. • • ~
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