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STATE OF FLORIDA
DEPARTMENT OF REVENUE
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q~ TALLAHA~EE. FLORIDA 32304
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NONTAXABLE CERTIFICATE AND RECEIPT
RANOYMtLLER FOR ESTATE TAX _
EXECUTIVE DIRECTOR
TO ~ Rnna 7 A P _ Wh i ~ 1 ~ar~ FS(~ RE: The Estate of rA~~e ~ 12pbe*'t K
RO?8 S F~cl tiWY DECEASED 3T3,3~70
-~i.~r_s.~-r~al~e~eT~+-~.,~~,4.~~ RESIDENT OF__~~_ COUNTY,-
STATE OF f
DATE: - Qr1f~ O
George P. Adinamis, Exec.
E 82792
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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 requirl~d 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,.shait
not preclude the assessment and collection of Estate Taxes subsequently detemnined to be
due the State of Florida.
If proof of non liability by the above estate for the Florida Estate Tax is required 3
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.
- .ci i.,.< ~ ,
.j ~ ,t. Executive Director
- _ . ~ Department of Revenue
- - ~ 4f33164
1980 APR 16 AN ~ 58 ,
f1LEC AkC tECUIt~f.D
Not valid without seal affixed. sty COlAtlY.flJ1.
RO~~ POITRA5
®IERK CIRCUIT C~UI~j~
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