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IN THE CIRCUIT 00()nT OF THE 19'I~i JWICIAL
CI~UIT, IN AMID FOR SAINT LUCIE COUNTY,
FIARIDA
cASE rio. 80 93 CP 480206
IlV RE: TEIE F5"TATE OF
FAME I. B~JBAKER, Deceased.
STATE OF FLORIDA
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DEPARTMENT OF REVENUE
y''y~TNE~,~4 TALLAHASSEE. FLORIDA 32304
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NONTAXABLE CERTIFICATE AHD RECEIPT
RANDY MILLER FOR ESTATE TAX
EXECUTIVE DIRECTOR
TQ; Robert J a Gorman RE: The Estate of Brubaker , Faye I
P. 0. BOX 3779 DECEASED 9-29-79 -
Ft. Pierce, Fla. 3345G RESIDENT OF Sty Lucie COUNTY,
STATE OF ~'1 nri ~ja
DATE: 3- 4- ~ fl
Logan W. Brubaker , PR E 8 0 3 3 7
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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
= 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.
' Given in quadruplicate under my hand and the seal of the State of Florida.
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Executive Director
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Department of Revenue
484206
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FILED 1NC PE6u?-.[!i0
ST.LUCi COI~iTY.rtA.
~ IIOG£~ POIYRAS
a Not valid without seal affixed. ~ ttEkK CNtCUIt C~JIMt
~~~~327 PA~E2469
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