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4'7+6341
s?'ATE OF FLORIDA
- DEPARTMENT OF REVENUE
`~i~ ; .~,_TALLAHASSEE. FLORIDA 32304
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' NQ I~TAXA6L.E~. CERTIFICATE AND RECEIPT
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RANDY MILLER ~ FQR ESTATE TAIf
EXECUTIVE DIRECTOR
TD Patricia C. ~tchen, Spouse Kitchen, Donald J.
RE: TM Esau of
ltt 2-Nettles -Island #1172 oECEwsEO 5/12/79,
Te aen Bah _ 1~I. '3~~ST RESIDENT OF Marti n COUNTY
STATE OF ,p7 n+~ i A ~
.DATE• ~-1~3O~SO
E 77354
~ 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 a~e~ment 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.
f Given in quadruplicate under my hand and the seal of the State of Florida.
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f~.,-~~`= _ ~ Executive Director
'~~-x ~ ~ ~ * ~ Department of Revenue
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Not valid without seal affixed. a~at c+RCwr
RECORD YfR Ft[0.._.~._.__
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