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NONTAXABLE CERTIFICATE AND RECEIPT
. M,~~Ep FOR ESTATE TAX
Ex~cuTwE axECto~ ~ - i
T~i ~ • ~.~?,'~ODU. RE: TM EstaM of JCZIII9CA L Ine$ ~
8410 S 1~ed,HltY-fie 20~ ~~~D 10/x/77
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3~,,,~2„ RE310ENT OF St . I.uaie p~NTy.
8TATE OF $7 nr.~ As
DATE: .
Vera J Gemble, Per in Poss.
E 71470
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 n:tum-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 ss evidence of wch non liability.
Given in quadruplicate under my hand and the seal of the State of Florida.
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Not valid without seal affixed.
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