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4h8624 STATE OF FLORIDA
DEPARTMENT OF REVENUE
~.,d`"E'"''~4 TALLAHASSEE. FLORIDA 32304
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HOHTAXABLE CERTIFICATE AND RECEIPT
RANGY MILLER FOR ESTATE TAX
EXECUTIVE DIRECTOR
Chelsea Title & Guaranty Co. Chaplin, Edqar J.
TO; RE. The Esute of
8000 $ v.$. 1 DECEASED 12~20~77
Pt. St. Lucie, Fl 33452 RESIUENTOF Pinellas couNTY,
STATE OF Florida
DATE: 11~9~79
Mary Chaplin, PR E 71,.7 7
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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 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.
ff proof of non liability by the above estate fog 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 seat of the State of Florida.
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..-f .A-.~. Executive Director
- ~ Department of Revenue
poc 1 S ~AN'TQ
Not valid without seal affixed. ~~~24
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