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• ST11TE OF FLORIDA
u DEPARTMENT OF REVENUE
`~~~'+~4C' . ~ TALLAHASSEE, FLORIDA 32304
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NONTAXABLE CERTIFICATE .AND RECEIPT
- Fuw~rM~«Eq ~Vit ii_ i11i i i~
EXECUTIVE DIRECTOR
TQ: Bruee A. Rnebe~
Atty. qE;~~~ Seleznik. Alfred T.
1635 N~ Cammareial St_ DECEASED 9/18/79.
33457 RESIDENT OF -++~ia COUNTY,
STATE OF t.~ R_
DATE:
$lizabeth J. Zeleznik, 3pouee
E 75771
THIS IS TO CERTIFY, That in accordance with the provisions of Chapter 198,
E 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
E 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.
R= Given in quadruplicate under my hand and the seal of the State of Florida.
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~4~? f~~- - Executive Director
° '1 y ~ Department of Reve ~ c6
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v F1LE0 AaL aECiikGED
' - gT.lUC1E CLUtliY.flA.
o ~ ROGER POITR~T
as~~ CLERK CIRCUIT~~
Rt~ORO ~'FA!Ft[~
~ Not valid without seal affixed. 4~~~