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STATE OF FLORIDA
DEPARTMENT OF REVENUE
~yd`a"'~4 TALLAHASSEE. FLORIDA 32304
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NONTAXABLE CERTIFICATE AND RECEIPT
RANDY MILLER FOR ESTATE TAX
EXECUTIVE DIRECTOR
TO; Chel sea Ti _1 p & - ~arar~t~_~_ REc The Etgt~ of Kd~ b.~ nh _ t M_
~,QAA ,~_L1`,1 DECEASED 1~ ~Q ~7~
Di- Cf- T_++n i o L+~_31 A S 7 RESIDENT OF COUNTY,
STATE OF
DATE:
T. Faye Kalb, PR
E 83.427
I! 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 !aw 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, shalt
not preclude the assessment and collection of Estate Taxes subsequently deternnined to be
due the State of Florida.
I If proot 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.
i~ Given in quadruplicate under my hand and the seal of the State of Florida.
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F ~ . ~ ~ ~ ~ Executive Director
Department of Revenue 484346
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