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STATE OF FLORIDA
' DEPARTMENT OF REVENUE
~..d~~"''~4 TALLAHASSEE. FLORIDA 32304
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NONTAXABLE CERTIFICATE AHD RECEIPT
RANDY MILLER FOR ESTATE TAX
EXECUTIVE DIRECTOR
TQ~ Harold H. GO1dIDan RE: TheEsaaof Sikora, Janus Frances H
8028 S. Federal Hwy DECEASED 5-3-77
Pt St_ Lul(~e Fla. 33452 RESIDENT OF Phonix COUNTY,
STATE OF gri zc~na
DATE: 4-18-R[1
Frances L. Janus, PR ~ E 84249
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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Not valid without seal affixed. 4rea~e v[flrF;~?._--_~