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IN THE CIRCUIT COURT FOR DADS COUNTY, FLORIDA, PROBATE DIVISION
ESTATE OF ANNA ANITA LAYCHAK, deceased
File Number 79-6902-CPO1
NONTAXABLE CERTIFICATE AND ,
RECEIPT FOR ESTATE TAX
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STATE OF FLORIDA
DEPARTMENT OF REVENUE
..~"t~`'~~ ESTATE TAX 6UF2EAU
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?J TALLAHASSEE. FLORIDA 32304
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HARRY t„ COE. JR. NONTAXABLE CERTIFICATE AND RECEIPT
EXECUTIVE DIRECTOR
FOR ESTATE TAX
TO: Joan Laychak Hawreluk, Per. Rep.
A46~91 PP
c/o Mr. William E. Moschell, Esq.
1209 Biscayne Bldg.
19 West Flagler Street
Miami, FL 33130 Re: The Estate of Anna A. Laychak
Deixaaed.
Resident of Dade ~ ~
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County, F7 on da
Date: 3-4-80
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ES.00 Fee Received: 3-4-80
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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
f not preclude the assessment and collection of Estate Taxes subsequently determined to be
i
~ ~ 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 the
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date first above written.
i
Mate of f lorida _
County_of Dade ~ }
I hereby Certify tt>!s document 4~
a tree copy of the Original
` Instrurtl nt
_ . Executive erector ;
A
witnesfi ~oy }ia~nd aqd- Off~c(al Seal Department of Revenue '
~
t RICFfAF~~O P. ~t3RINKER
Clerk . ~ uit Co rt 1980 MAR 10 Ali 35
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6y ~rWITIRABA.
. COURT
s Not vsl~`~,withoat s affixed .
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