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~~v~ STATE OF FLORIDA
DEPARTMENT OF REVENUE
~~~'`""T'~~ TALLAHASSEE. FLORIDA 32304
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'~•~w,,,~' NONTAXABLE CERTIFICATE AND RECEIPT
RANDY MIIIER FOR ESTATE TAX
EXECUTIVE DIRECTOR
TO: Arif ParuDia RE: The Esate of Thomas , Harry L
9999 S U S Hwy 1 DECEASED 8-25-75
Pt 4t,.~ 1 iir~ip F],~, 33152 RESIDENT OF Allegheny COUNTY,
STATE OF Ppnnwl ~~an i ~
DATE: 3-12 - 8 U
Virginia L. Thomas. Spouse E 81162
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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