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. STATE OF FLORIDA '48141
• - DEPARTMENT OF REVENUE
~~at""~'~Q TALLAHA~EE. FLORIDA 32304
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NONTAXABLE CERTIFICATE AND RECEIPT
RANDY MILLER FOR ESTATE TAX
EXECUTIVE OIRECT_OR
T0~ john 8. Sutherland, Atty. Foltz, Bernice A.
RE: The Esun of
PO box 100 3/9/79
DECEASED #
Vero Bch, FL 32960 RESIDENT OF Stark couNTV,
STATE QF OhiO ~
DATE: 2/8/80
Paul F. Foltz, Spouse -
- - E 78214
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THIS IS TO CERTIFY, That in accordance with the provisions of Chapter 198,
there has been filed with this off-ice a sworn report or return for Estate ~
Florida Statutes,
Taxes as required by law and on the basis thereof it has been ascertained the above estate
I 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 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.
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3~t ~ Department of Revenue 4814'x'1 u~
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Not valid without seal affixed.
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