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' STATE OF FLORIDA ~
DEPARTMENT OF REVENUE ~
..d`~E"''~4 TALLAHASSEE FLORIDA 32304
HOHTA_XABLE CERTIFICATE AND RECEIPT -
RANDY MILLER FOR ESTATE TAX -
EXECUTIVE DIRECTOR
T~~ Chelsea Title & Guaranty CO. R~; Tn~ E:aaof EdJwards, Ewart C.
HOOO S • US ~ DECEASED alp ~5~~9
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Port St. Lucie, fl .33452 RESIDENT OF Chaves COUNTY,
STATE OF NP_41 IYLaxi c!n
DATE: 2 f l S /SD ~
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Carmen B. Edwards, Spouse
- E 78824
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 r
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.
Given in quadruplicate under my hand and the seal of the State of Florida.
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19:`0 FEr; 27 P>; 2~ 57
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Not valid without seal a Ixed. e~c~ r~~+~~
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